Sletnes K E
Hematologisk avdeling, Ullevål sykehus, Oslo.
Tidsskr Nor Laegeforen. 1996 Aug 20;116(19):2322-4.
Changes in the type and frequency of diseases towards the end of the century will result in a larger number of elderly and chronically ill patients. At the same time, functional changes in the health services will lead to greater centralisation of complicated medical services. The general practitioner offers continuity, care and security in the patient's local environment. In the years to come the growing number of patients will put new pressures on the organisation of public health services. It is to be expected that general practitioners will have to take care of a larger number of more seriously ill patients than they do today. Therefore, general practitioners must examine the possibility of saying no to some of the many tasks they have accepted since the 1960s. Moreover, the hospitals must give priority to making their services more accessible and to improving the cooperation with the general practitioners so that the latter can use the specialists to a greater extent as advisers, and the hospitals as centers of expertise.
世纪末疾病类型和发病频率的变化将导致老年患者和慢性病患者数量增加。与此同时，卫生服务的功能变化将导致复杂医疗服务更加集中。全科医生在患者当地环境中提供连续性、护理和保障。在未来几年，患者数量的不断增加将给公共卫生服务的组织带来新的压力。预计全科医生将不得不照顾比现在更多的重症患者。因此，全科医生必须审视拒绝自20世纪60年代以来所承担的众多任务中某些任务的可能性。此外，医院必须优先使服务更易获得，并改善与全科医生的合作，以便全科医生能够更大程度地将专科医生用作顾问，并将医院用作专业知识中心。
