Kong H H, Flegel K M, Coke W, Hoey J R
Can Med Assoc J. 1982 Nov 1;127(9):837-40.
The internal medicine unit of the Royal Victoria Hospital in Montreal was created in 1979 to improve the training of residents and the care of patients. The practices of four internists were brought together in one part of the institution, and within 2 years there were 10 attending staff and 6 residents. The unit now provides continuing care for 2500 patients, many of whom have multisystem or potentially lethal problems. Residents and attending staff share the responsibility of providing 24-hour coverage. The group handles 5000 outpatient visits per year (20% of them being consultations) and provides a general medical consulting service for other hospital departments, with about 300 consultations per year. The creation of the unit, with highly visible role models, appears to have given new prestige to general internists in the hospital. The unit has served as a model for the reorganization of the other medical clinics and provides a base for research in health care delivery.
蒙特利尔皇家维多利亚医院的内科部门成立于1979年,旨在改善住院医生的培训以及患者护理。四位内科医生的业务集中在该机构的一个区域,两年内就有了10名主治医生和6名住院医生。该部门目前为2500名患者提供持续护理,其中许多患者有多个系统问题或潜在的致命问题。住院医生和主治医生共同承担24小时值班的责任。该团队每年处理5000次门诊就诊(其中20%为会诊),并为医院其他科室提供普通医疗咨询服务,每年约有300次会诊。该部门的设立,有非常显眼的榜样,似乎给医院的普通内科医生带来了新的威望。该部门已成为其他医疗诊所重组的典范,并为医疗保健服务研究提供了一个基地。