Armstrong D, Nicoll M
Department of General Practice, United Medical School of Guy's Hospital.
BMJ. 1995 Mar 4;310(6979):581-2. doi: 10.1136/bmj.310.6979.581.
The impact on hospital resources of variability in referral rates among general practitioners was of concern throughout the 1980s. The overall number of patients referred to outpatient clinics, however, has increased only slowly since the NHS began; in contrast, the number of new outpatients seen by each hospital consultant has declined appreciably. Ironically, despite this decline, further increasing the number of consultants in now being presented as a solution to the demand for outreach clinics in general practice.
20世纪80年代，全科医生转诊率的变化对医院资源的影响一直令人担忧。然而，自英国国家医疗服务体系（NHS）建立以来，转诊至门诊诊所的患者总数增长缓慢；相比之下，每位医院顾问诊治的新门诊患者数量明显下降。具有讽刺意味的是，尽管数量下降，但现在却有人提出进一步增加顾问人数，作为解决全科医疗中对外展诊所需求的一种办法。
