Montalto M, Gunesekera A, Sanderson F
Department of Public Health and Community Medicine, University of Melbourne, Victoria.
Aust Fam Physician. 1994 Mar;23(3):453-7, 460-1.
The Mornington Peninsula Hospital (MPH) in Victoria has a Division of General Practice whose members retain admission privileges. We will describe the use of general practitioner inpatient admitting rights at Mornington Peninsula Hospital.
The study will be a retrospective review of existing hospital databases.
From 1980 until July 1992 the rate of general practitioner admissions is decreasing at one per cent per annum. Comparative data shows an increase of 0.7 per cent in admissions per annum by medical specialists. Between 1988 and 1991 general practitioner admissions have been equally divided between obstetrics and general medicine. The proportion of long stay general practitioner inpatients is below one per cent of all general practitioner admissions, and the average length of stay for general practitioner inpatients approximates that of MPH in general. Most general practitioner inpatients are discharged home, and 3.1 per cent are transferred to other units or hospitals. Neoplastic disease accounts for 40 per cent of all the deaths within the general practitioner inpatient group.
This study shows that, in selected areas, the care of inpatients is still a valid role for some general practitioners.
维多利亚州的莫宁顿半岛医院（MPH）设有全科医疗部门，其成员享有住院收治权。我们将描述莫宁顿半岛医院全科医生住院收治权的使用情况。
本研究将对现有的医院数据库进行回顾性分析。
从1980年到1992年7月，全科医生的收治率以每年1%的速度下降。对比数据显示，医学专科医生的收治率每年增长0.7%。1988年至1991年间，全科医生的收治病例在产科和普通内科之间平均分配。长期住院的全科医生患者比例低于所有全科医生收治病例的1%，全科医生患者的平均住院时间与莫宁顿半岛医院总体平均住院时间相近。大多数全科医生的住院患者出院回家，3.1%的患者被转至其他科室或医院。肿瘤疾病占全科医生住院患者组所有死亡病例的40%。
本研究表明，在某些特定领域，住院患者的护理对一些全科医生来说仍是一项合理职责。
