Pearson D A, Bernacki E J, Meigs J W
JACEP. 1976 Mar;5(3):174-9. doi: 10.1016/s0361-1124(76)80339-5.
The objectives of this research were: (1) to describe the programmatic structure and characteristics of an emergency medical care facility that is a satellite clinic of a community hospital; (2) to describe the types of illness treated, and (3) to characterize the patients who used the facility. One-half of the presenting patients were treated for traumatic conditions; a major factor of clinic use for such patients was proximity. For patients with nontraumatic illnesses, the clinic was used when private physicians were unavailable. Almost 20% of all presentations resulted from referrals, suggesting acceptance of the clinic by private practitioners in the area. Previous users had more tenuous relationships with private physicians than did initial users and no difference was found between initial and previous users in the amount of nontraumatic illness. Patient attributes of high mobility, lower socio-economic status, and younger age were associated positively with frequent clinic use.
（1）描述作为社区医院卫星诊所的急救医疗设施的规划结构和特点；（2）描述所治疗的疾病类型；（3）描述使用该设施的患者特征。前来就诊的患者中有一半接受了创伤性疾病治疗；此类患者使用诊所的一个主要因素是距离近。对于患有非创伤性疾病的患者，在私人医生无法提供服务时会使用该诊所。所有就诊病例中近20%是转诊而来，这表明该地区的私人执业医生认可该诊所。与初次使用者相比，之前的使用者与私人医生的关系更为薄弱，并且初次使用者和之前的使用者在非创伤性疾病的数量上没有差异。高流动性、较低的社会经济地位和较年轻的患者属性与频繁使用诊所有正相关关系。
