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[维也纳一家医疗诊所的紧急出诊]

[Emergency house calls in a Vienna medical practice].

作者信息

Tönies H

机构信息

Besondere Universitätseinrichtung Allgemeinmedizin an der Universität Wien.

出版信息

Wien Klin Wochenschr. 1995;107(13):403-7.

PMID:7638971
Abstract

Daytime emergency visits (7 a.m.-8 p.m.) requested in a general practice on the outskirts of Vienna were investigated between 1985 and 1992. Altogether 56 such calls were registered, on average 7.1 per year, with a decreasing tendency over the investigated period. The average visit started 9 minutes after demand and lasted for 17 minutes. An objective assessment after the visits revealed 35.7% life-threatening indications, 57.1% absolute, 3.6% relative and 3.6% trivial indications. Only 34% of all patients were referred to hospital for inpatient treatment. This form of general practitioner home visiting based on telephone assessment of urgency by the doctor personally keeps calls to a minimum, saves money and is efficient.

摘要

1985年至1992年间,对维也纳郊区一家普通诊所的日间紧急出诊(上午7点至晚上8点)情况进行了调查。总共记录了56次此类出诊请求,平均每年7.1次,在调查期间呈下降趋势。平均出诊在接到需求后9分钟开始,持续17分钟。出诊后的客观评估显示,有35.7%的情况危及生命,57.1%为绝对紧急情况,3.6%为相对紧急情况,3.6%为轻微情况。所有患者中只有34%被转诊至医院接受住院治疗。这种基于医生个人通过电话评估紧急程度的全科医生上门出诊方式,将出诊次数降至最低,节省了费用且效率较高。

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