Segovia J
Med Care. 1979 Mar;17(3):255-66.
An outpatient clinic of a charity hospital, managed by a medical school of a large Latin American country, was studied to assess the characteristics of the patients and the management of their conditions. All medical records of registered patients of the clinic were abstracted for identification, demographic and clinical data, for two periods of one month each, yielding 2,153 patient observations. The study period represented 18 per cent of the total days of operation of the clinic in 1975. A 20 per cent stratified sample of all cases was studied in depth to characterize the management of patients. Up to 40 per cent of all patients were rejected by the clinic, a result of the system of selection and handling of the patients. Only 36 per cent of all patients received minimally satisfactory care when treated. These results are analyzed within the framework of the conflict between professional and academic values of the medical profession and the medical and social needs of the patients.
对拉丁美洲一个大国一所医学院管理的慈善医院的门诊进行了研究，以评估患者特征及其病情管理情况。该门诊登记患者的所有病历被提取，用于获取识别信息、人口统计学和临床数据，分两个为期一个月的时间段进行，共得到2153例患者观察数据。研究期占该门诊1975年总运营天数的18%。对所有病例的20%进行分层抽样深入研究，以描述患者的管理情况。由于患者挑选和处理系统的原因，该门诊拒收了高达40%的患者。接受治疗的患者中只有36%得到了勉强令人满意的护理。这些结果在医学专业的职业和学术价值观与患者的医疗和社会需求之间的冲突框架内进行了分析。
