Inwald A C
J R Coll Gen Pract. 1980 Apr;30(213):220-3.
West Somerset, a sparsely populated semi-rural district with 113 general practitioners, and Islington, a densely populated, deprived urban district with 86 general practitioners. It was found that an Islington resident is twice as likely to attend the accident and emergency department. A slightly higher proportion of Islington attenders came with a general practitioner's referral letter and there were many more unregistered attenders, which probably reflected a much more mobile population. Interesting comparisons were found between the registered and unregistered attenders in Islington. Islington attenders were two and a half times more likely to come with a non-emergency. The West Somerset attender was nearly twice as likely to arrive with a genuine accident.
西萨默塞特是一个人口稀少的半农村地区，有113名全科医生；伊斯林顿是一个人口密集、贫困的城市地区，有86名全科医生。结果发现，伊斯林顿居民前往急诊部门的可能性是西萨默塞特居民的两倍。伊斯林顿前来就诊的患者中，持全科医生转诊信的比例略高，未登记就诊的患者也更多，这可能反映出人口流动性更大。在伊斯林顿，登记就诊者和未登记就诊者之间存在有趣的比较。伊斯林顿前来就诊的患者因非紧急情况前来的可能性是前者的2.5倍。西萨默塞特前来就诊的患者因真正意外前来的可能性几乎是前者的两倍。
