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预约系统中的紧急会诊问题。

Problems of urgent consultations within an appointment system.

作者信息

Field J

出版信息

J R Coll Gen Pract. 1980 Mar;30(212):173-7.

PMID:7381823
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2159503/
Abstract

Patients for whom there is no appointment who ask to be seen on the same day can be a source of irritation. During March 1978, 214 of these patients were compared with 749 who made appointments. No evidence was found that such patients were abusing the system, and almost half were found to be children. It was concluded that these consultations were inevitable, but the attitude of the doctors to them may have been affecting their management. The system used produces some loss of personal care, the effects of which need to be studied further.

摘要

那些没有预约却要求当天就诊的患者可能会让人感到恼火。1978年3月,对214名这类患者与749名预约就诊的患者进行了比较。没有发现证据表明这类患者在滥用该系统,而且发现几乎一半是儿童。得出的结论是,这些会诊是不可避免的,但医生对他们的态度可能一直在影响对他们的管理。所采用的系统造成了一定程度的个人护理缺失,其影响需要进一步研究。

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What is a good GP?什么是一名优秀的全科医生?
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A study of patients attending without appointments in an urban general practice.一项关于城市全科医疗中未经预约就诊患者的研究。
BMJ. 1990 Jul 7;301(6742):22-6. doi: 10.1136/bmj.301.6742.22.

本文引用的文献

1
Appointment systems in general practice. How patients use them.全科医疗中的预约系统。患者如何使用这些系统。
Br Med J. 1967 Jun 24;2(5555):827-9. doi: 10.1136/bmj.2.5555.827.
2
Coronary bypass for stable angina: a prospective randomized study.稳定型心绞痛的冠状动脉搭桥术:一项前瞻性随机研究。
N Engl J Med. 1979 Jan 25;300(4):149-57. doi: 10.1056/NEJM197901253000401.