Magnusson G
Scand J Soc Med. 1980;8(3):149-56. doi: 10.1177/140349488000800311.
The role of hospital emergency departments has gradually changed, particularly in large urban areas, where these departments have increasingly become outpatient clinics for everyday ailments rather than centres for the treatment of injuries and emergencies. The main objectives for the present study were: (1) to compare the utilization of district general practitioners and the hospital emergency department by a defined population; (2) estimate how many of the visits to the hospital emergency department are general practitioner-type visits. The results demonstrate the pattern of medical care usage in an area with hospital emergency department services which provide a 24-hour availability and open access, while the primary care services are available only during office hours, are understaffed and have limited access. The study is based pm a 1/30 sample (1032 individuals) from the population in the catchment area of a health centre in Stockholm. During the study period (15 months) 30% of the population visited the hospital emergency department, while 15% consulted district general practitioners. Of the visits to the hospital emergency department, 17 per cent were for injuries and between 39 and 64% were general practice-type visits, according to the criteria used in the study.
医院急诊科的作用已逐渐发生变化，尤其是在大城市地区，这些科室越来越成为日常疾病的门诊，而非治疗伤病和急症的中心。本研究的主要目的是：（1）比较特定人群对地区全科医生和医院急诊科的利用情况；（2）估计到医院急诊科就诊的患者中属于全科医生类型就诊的比例。结果显示了在一个提供24小时服务且可随时就诊的医院急诊科服务地区的医疗服务使用模式，而初级保健服务仅在办公时间提供，人员配备不足且就诊机会有限。该研究基于斯德哥尔摩一个健康中心服务区域内1/30的样本（1032人）。在研究期间（15个月），30%的人群前往医院急诊科就诊，而15%的人咨询了地区全科医生。根据研究中使用的标准，在前往医院急诊科的就诊中，17%是因伤就诊，39%至64%是全科医生类型的就诊。
