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  1. Most patients attending a'walk-in'clinic at Red Cross War Memorial Children's Hospital could safely be managed at primary care level.

    Article - En anglais


    (i) To ascertain what proportion of patients attending the general medical outpatient service at Red Cross War Memorial Children's Hospital (RXH) could safel be managed at peripheral primary care facilities ; and (ii) to measure the effect of the introduction of free health care for children under 6 years of age on requirements for levels of care ranging from home to super-specialist referral centres.


    Prospective survey of patients attending on a stratified, randomised sample of 7 days in March 1994 (N=1 962) and again in November 1994 (N=1 404) - before and after the introduction on 6 June 1994 of free care for children under 6 years of age.


    The general outpatient department of an academic/referral children's hospital.

    Patient selection

    All patients attending the outpatient department on the study days (7h00 to 6h59 the following day), excluding those who were referred, returning for follow-up, attending a specialist clinic or attending the surgical outpatient department.


    The questionnaire completed by medica officers recorded the following :

    • patient's name, folder number, date and time of arrival, whether referred, clinic, treating doctor, disposal, diagnoses, home suburb and the level of care required : (i) home ;

    • (ii) clinic without a doctor ;

    • (iii) clinic with a doctor ;

    • (iv) hospital with non-specialists ;

    • (v) hospital with general paediatricians ;

    • or (vi) super-specialist hospital.

    Main results


    Mots-clés Pascal : Utilisation, Soin santé primaire, Enfant, Homme, Hôpital, Médecin généraliste, Soin, République Sud Africaine, Afrique

    Mots-clés Pascal anglais : Use, Primary health care, Child, Human, Hospital, General practitioner, Care, South Africa, Africa

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0203005

    Code Inist : 002B30A04D. Création : 21/05/1997.