Vitamin D deficiency.
Vitamin D deficiency.
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DOI：
10.1136/bmj.2.6183.207
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发表时间：
1979-07
影响因子：
--
通讯作者：
T. Oppé
中科院分区：
文献类型：
--
作者：
T. Oppé
入场。在该国一些地区，这一比例可能已经更大，如果转介的自我中毒案件的增长速度快于评估和管理这些案件的设施，这一比例可能会增加。在急症室提供社会工作和精神病学专业知识可能是防止不必要的医疗入院而不会对患者造成风险的一种手段。然而，布莱克博士和布兰布尔博士的数据并没有表明，医疗队从精神病学家那里接管评估工作会有任何好处，只是暗示着，评估工作将由在病房工作的全职工作人员更快地完成。这些数字实际上表明的是，如果把对过量药物的评估留给医生，精神病室的入院人数(增加19°U)、门诊病人(增加50°)和社会服务转介(增加140°)。因此，对于家庭医生来说，评估过量用药不会为精神或社会服务带来经济上的好处。这项研究没有告诉我们，对于精神科医生会收治的六名患者，但内科医生会为他们提供门诊预约的六名患者会有什么后果。E·J·索尔特
admission. This proportion could already be greater in some parts of the country and may increase if referrals of cases of self-poisoning increase faster than the facilities for their assessment and management. The provision of social work and psychiatric expertise in casualty departments may be one means of preventing unnecessary medical admissions without risk to the patients. Dr Blake's and Dr Bramble's figures do not demonstrate, however, that any advantage would attach to medical teams taking over assessment from psychiatrists except that, by implication, assessments would be completed sooner by staff working on the ward full time. What the figures actually suggest is that if assessment of overdoses were left to house doctors there would be an increase in admissions to psychiatric units (by 19°U), outpatients (by 5O°'), and referrals to social services (by 140o). So for house doctors to assess overdoses would provide no economy for the psychiatric or social services. The study does not tell us what the consequences would have been for the six patients who the psychiatrists would have admitted but to whom the house doctors would have offered outpatient appointments. E J SALTER