Conway H
Br Med J. 1976 Aug 28;2(6034):511-3. doi: 10.1136/bmj.2.6034.511.
A survey carried out over five periods between 1973 and 1975 to study the mode of referral of emergency medical patients to a district general hospital showed that, out of a total of 2511 patients, 51% referred themselves, 40-8% were referred by general practitioners, and only 4-7% by doctors employed by the emergency treatment service. Of the 1720 patients admitted to the medical wards, 50-9% were referred by general practitioners and 37-3% were self-referred while the corresponding figures for the 791 not admitted were 19% and 80-7% respectively. Two-thirds of the self-referred patients came from their own homes, usually by ambulance ordered by a "999" emergency call. The figures were similar in each of the five periods.
1973年至1975年间分五个阶段进行的一项调查,旨在研究急诊患者转诊至地区综合医院的模式。结果显示,在总共2511名患者中,51%的患者是自行转诊,40.8%由全科医生转诊,而由急诊服务部门雇佣的医生转诊的仅占4.7%。在入住内科病房的1720名患者中,50.9%由全科医生转诊,37.3%是自行转诊,而在791名未入住的患者中,相应比例分别为19%和80.7%。三分之二的自行转诊患者来自他们自己家中,通常是通过拨打“999”紧急电话叫的救护车。五个阶段中每个阶段的数据都相似。