Kljakovic M, Allan B C, Reinken J
N Z Med J. 1981 Jul 22;94(688):49-52.
The families of 441 children seen in accident and emergency departments over a 10 week period were interviewed to find the reasons why they bypassed their general practitioner and took the child to the department. One-quarter of the children did see the general practitioner first. Almost 40 percent were taken straight to the accident and emergency department because it was seen as providing more appropriate treatment than the general practitioner, while nearly one-quarter went because the department was seen as more accessible. The closer the child's home was to either the general practitioner or the accident and emergency department, the more likely that service was to be used. Children from lower socio-economic status families were more likely than other children to see their general practitioner first.
在为期10周的时间里,对441名在急症室就诊的儿童的家庭进行了访谈,以找出他们绕过全科医生而带孩子去急症室的原因。四分之一的儿童首先看了全科医生。近40%的儿童被直接带到急症室,因为人们认为急症室能提供比全科医生更合适的治疗,而近四分之一的儿童去急症室是因为觉得那里更容易就诊。孩子的家离全科医生诊所或急症室越近,就越有可能使用该服务。来自社会经济地位较低家庭的儿童比其他儿童更有可能首先看全科医生。