Cavenagh A J
Br Med J. 1978 Jul 1;2(6129):34-6. doi: 10.1136/bmj.2.6129.34.
A survey of a one-in-seven sample of general practitioner hospitals in England and Wales, performed to determine the contribution they make to overall hospital work load and the attitudes of the general practitioners working in them, showed that 3% of acute hospital beds in England and Wales were in general practitioner hospitals, which provided initial hospital care for up to 20% of the population. Altogether 16% of general practitioners and 22% of consultants were on the staffs, and they coped with more than 13% of all casualties, 6% of operations, and 4% of x-ray examinations. Nearly a million casualties were treated at no cost to the National Health Service. Twenty new district general hospitals would be needed to cope with the work load currently dealt with by general practitioner hospitals. The results of this survey indicate that these smaller hospitals deal efficiently and cheaply with their work load, and that morale is high. General practitioner hospitals could have an important part to play in providing certain types of care, but there are no financial incentives to enable general practitioners to realise this potential fully.
对英格兰和威尔士七分之一的全科医生医院进行了一项调查，旨在确定这些医院对整体医院工作量的贡献以及在其中工作的全科医生的态度。调查显示，英格兰和威尔士3%的急症医院床位在全科医生医院，这些医院为多达20%的人口提供了初步的医院护理。共有16%的全科医生和22%的顾问在这些医院工作，他们处理了超过13%的所有伤病员、6%的手术以及4%的X光检查。近100万伤病员接受了治疗，且国民医疗服务体系无需为此付费。需要20家新的地区综合医院来应对目前由全科医生医院处理的工作量。这项调查结果表明，这些规模较小的医院能高效且低成本地处理其工作量，而且士气高昂。全科医生医院在提供某些类型的护理方面可以发挥重要作用，但目前没有经济激励措施使全科医生充分发挥这一潜力。
