McGilloway S, Mays N, Kee F, McElroy G, Lyons C
Health and Health Care Research Unit, Queen's University of Belfast, Northern Ireland.
Ulster Med J. 1994 Oct;63(2):176-84.
The rationale of the general practitioner hospital continues to be questioned. A study of the services and case-mix of two of the four remaining general practitioner hospitals in Northern Ireland was undertaken to determine whether the nature and cost of inpatient care in these hospitals was comparable to the available alternatives. The case-notes of all non-maternity admissions (n = 509) were reviewed. The two hospitals provide acute medical care for a wide range of patients. The majority of patients appeared to require hospitalisation. It is likely that the beds at the two hospitals were mainly a substitute for district general hospital care. The general practitioner hospitals were estimated to be less costly than alternative forms of care, although it was doubtful whether they fulfilled all the structural criteria of quality generally regarded as important for hospitals of this type.
全科医生医院的基本原理仍在受到质疑。对北爱尔兰仅存的四家全科医生医院中的两家的服务和病例组合进行了一项研究，以确定这些医院住院护理的性质和成本是否与其他可选择的方式相当。对所有非产科住院病例（n = 509）的病历进行了审查。这两家医院为广泛的患者提供急性医疗护理。大多数患者似乎需要住院治疗。这两家医院的床位很可能主要是替代地区综合医院的护理。据估计，全科医生医院的成本低于其他护理形式，尽管它们是否满足一般认为对这类医院很重要的所有质量结构标准尚值得怀疑。
