地区综合医院急诊科的非急诊就诊者。
Non-emergency attenders at a district general hospital accident and emergency department.
作者信息
Thomson H, Kohli H S, Brookes M
机构信息
Department of Public Health, University of Glasgow, UK.
出版信息
J Accid Emerg Med. 1995 Dec;12(4):279-81. doi: 10.1136/emj.12.4.279.
Following concern about long waiting times, a survey was carried out in the Accident and Emergency (A&E) department of Monklands District General Hospital over 5 consecutive days to investigate factors related to the bypassing of general practitioners (GPs) by 'self-referred' patients and inappropriate use of the department. Two hundred and forty-five (90.7%) of 270 non-emergency patients who attended the department during GP surgery hours completed a self-administered questionnaire. Variables measured included recent use of health services, perceptions of the GP service and the A&E service and reasons for bypassing the GP. Of the 245 patients, 49 (20%) were defined as inappropriate and 152 (62%) were self-referred. Self-referred patients were no more likely to use the A&E department inappropriately than those who were referred.
在对长时间等待时间表示关注之后，在蒙克兰兹地区综合医院的 Accident and Emergency（A&E，急诊）部门进行了一项为期 5 天的调查，以研究“自我转诊”患者绕过全科医生（GP）以及该部门使用不当的相关因素。在全科医生出诊时间前来该部门就诊的 270 名非急诊患者中，有 245 名（90.7%）完成了一份自填式问卷。所测量的变量包括近期使用医疗服务的情况、对全科医生服务和急诊服务的看法以及绕过全科医生的原因。在这 245 名患者中，49 名（20%）被定义为使用不当，152 名（62%）为自我转诊。自我转诊患者与被转诊患者相比，并无更多不当使用急诊部门的情况。
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