Matthews W C, Crum H P, Andrus L H
J Fam Pract. 1977 May;4(5):943-5.
Doctor's Other Office (DOO), a group of ten family physicians, offers after-hours and weekend health care to non-critical patients who might otherwise go to a hospital Emergency Room, even though their medical problems do not require expensive, elaborate facilities of the Emergency Room. Advantages to patients include less expense than the ER, care that is appropriate to their needs, and comprehensive, continuous care through dealing with physicians who will follow through with referral to a regular physician, often the patient's own family physician. DOO physician members enjoy a rational division of after-hours and weekend coverage among colleagues that permits more free time, yet assures that patients receive good quality, continuous care. The methods of operation are discussed, including personnel schedules, consultants, hospital coverage, and finances. The DOO income just meets office expenses, however, life insurance and other fringe benefits that physician members receive through the corporation aid in making this organization more financially attractive.
医生的其他诊所(DOO)由十位家庭医生组成,为那些原本可能会前往医院急诊室的非危急患者提供非工作时间和周末的医疗服务,尽管他们的医疗问题并不需要急诊室昂贵、复杂的设施。对患者来说,好处包括费用比急诊室低、能得到符合其需求的护理,以及通过与会跟进转诊至普通医生(通常是患者自己的家庭医生)的医生打交道,获得全面、持续的护理。DOO的医生成员在同事之间合理分配非工作时间和周末的值班任务,这样既能有更多空闲时间,又能确保患者得到高质量的持续护理。文中讨论了其运营方法,包括人员排班、顾问、医院值班安排和财务状况。DOO的收入仅够支付办公费用,不过,医生成员通过该公司获得的人寿保险和其他福利有助于使这个组织在经济上更具吸引力。