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首页> 外文期刊>BMJ: British medical journal >Should GPs be fined for rises in avoidable emergency admissions to hospital?
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Should GPs be fined for rises in avoidable emergency admissions to hospital?

机译：全球定位系统(GPs)应该罚款上涨可以避免吗紧急住院的人数?

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Yes Major changes have occurred in healthcare over the past 30 years. I remember, as a house officer, having to admit patients for several days just to start them on a new drug-the jmgiotensin converting enzyme inhibitor cap-topril. As a surgeon I became adept at performing vagotomy and pyloroplasty for duodenal ulcer and recently winced when a colleague pointed out that, in effect, we used to perform surgery for an infectious condition. While a general practitioner, I witnessed the closure of long stay geriatric wards and the proliferation of large residential and nursing home facilities for which GPs were expected to provide medical care, looking after frail elderly patients with complex comorbidities. We have seen startling decreases in mortality and morbidity in cardiovascular disease and improvements in cancer treatments and survival. Despite this we have also seen an inexorable rise in emergency admissions. Financial incentives will help bring about the changes required to reverse this trend.
机译：是的重大变化发生在医疗保健过去的30年。官,不得不承认患者数天刚刚开始他们新的前jmgiotensin转换酶抑制剂cap-topril。执行迷走神经切断术和十二指肠幽门成形术溃疡,最近当一个同事了指出,实际上,我们用来执行手术感染状况。全科医生,我见证了关闭长期保持老年病房和扩散大型住宅和养老院设施全球定位系统(GPs)预计将提供医疗关心,照顾虚弱的老年患者复杂的并发症。降低死亡率和发病率心血管疾病和改善癌症治疗和生存。还见过一个必然崛起的紧急招生。关于更改需要扭转这一趋势。

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