Merrill J M, Lounsbury B J, Gopalakrishna G S, MacMahon A E, Sanford S, Boisaubin E V
South Med J. 1980 Jun;73(6):780-3. doi: 10.1097/00007611-198006000-00029.
A national commission recently recommended that public general hospitals assume the initiative in arranging neighborhood-based primary care. A survey of medically underserved census tracts conducted in Houston 11 years ago revealed that 80% of residents interviewed stated that if neighborhood clinics were developed they would use them. After ten years' experience with eight neighborhood clinics, 300,000 ambulatory visits continue to be made annually to tertiary care hospitals, and more than 19.7 +/- 2.1% of 90,000 yearly visits to the emergency room are for primary care problems, though a neighborhood clinic is less than half this distance from the patient's home. Therefore, before communities embark on implementing the commission's recommendations, they should consider carefully the health care attitude, knowledge, and utilization behavior of their prospective patients.
一个国家委员会最近建议，公立综合医院应主动安排以社区为基础的初级保健。11年前在休斯顿对医疗服务不足的人口普查区进行的一项调查显示，80%接受采访的居民表示，如果社区诊所建立起来，他们会去就诊。在经历了十年的八家社区诊所运营经验后，每年仍有30万人次前往三级护理医院就诊，在每年9万次的急诊就诊中，超过19.7±2.1%是因初级保健问题，尽管社区诊所距离患者家不到此距离的一半。因此，在社区着手实施该委员会的建议之前，他们应该仔细考虑潜在患者的医疗保健态度、知识和利用行为。
