Hilditch J R
J Fam Pract. 1980 Jul;11(1):91-6.
This study explores the effect of an increase in the family physician to population ratio on use of the hospital Emergency Department in a community. Two household surveys were conducted, the first before a community health center was established in an underserviced community, the second survey three years later. During this period there was a fivefold increase in the family physician-population ratio. Use of hospital Emergency Departments decreased. Respondents were more likely to have called their physician before going to the Emergency Department. If they did not call, the reason for not doing so was less likely related to physician unavailability. A decrease in the level of perceived illness in the community was also found.
本研究探讨了家庭医生与人口比例的增加对社区医院急诊科使用情况的影响。进行了两次家庭调查，第一次在一个服务不足的社区建立社区卫生中心之前，第二次调查在三年后。在此期间，家庭医生与人口的比例增加了五倍。医院急诊科的使用量下降。受访者在前往急诊科之前更有可能给他们的医生打电话。如果他们没有打电话，不打电话的原因与医生无法提供服务的关系较小。还发现社区中感知到的疾病水平有所下降。
