National Ambulatory Medical Care Survey: 1995-96 summary.

S M Schappert, C Nelson
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Abstract

Objective: This report describes ambulatory medical care visits to nonfederally employed, office-based physicians in the United States during 1995 and 1996. Statistics are presented on selected physician, patient, and visit characteristics.

Methods: The data in this report were collected in the 1995 and 1996 National Ambulatory Medical Care Surveys (NAMCS). The NAMCS is part of the ambulatory care component of the National Health Care Survey (NHCS), which measures health care utilization across a variety of providers. The NAMCS is a national probability sample survey of visits to nonfederally employed, office-based physicians in the United States. Sample data were weighted to produce annual estimates. Estimates are presented in this report as annual averages unless otherwise noted.

Results: During 1995-96, an estimated 1.4 billion visits were made to physician offices in the United States, an annual average of 715.8 million visits. The visit rate was 2.7 visits per person per year. This rate did not differ significantly from visit rates observed in any previous survey year. Females made 59.4 percent of the visits, or 3.2 visits per person annually. This was higher than the visit rate for males. White persons had a higher visit rate than black persons. Six of every 10 visits were to primary care providers. Injury-related visits accounted for 11.8 percent of all office visits, or 84.6 million per year. The annual rate of injury-related office visits was 32.2 visits per 100 persons. The most frequent reason for visiting the physician was for a general medical examination (6.8 percent). Cough was the most frequent symptomatic reason. Acute respiratory infections and essential hypertension were the diagnoses reported most frequently.

全国门诊医疗调查:1995- 1996年总结。
目的:本报告描述了1995年和1996年期间美国非联邦雇用的办公室医生的门诊医疗访问情况。统计数据呈现在选定的医生,病人和访问的特点。方法:收集1995年和1996年全国门诊医疗调查资料。NAMCS是国家卫生保健调查(NHCS)的门诊护理部分的一部分,该调查衡量了各种提供者的卫生保健利用情况。NAMCS是对美国非联邦政府雇用的办公室医生进行的全国概率抽样调查。对样本数据进行加权,得出年度估计。除非另有说明,本报告中的估计数均为年平均值。结果:在1995- 1996年期间,美国估计有14亿人次到医生办公室就诊,平均每年7.158亿人次。访视率为每人每年2.7次。这一比率与以往任何调查年度的访视率并无显著差异。女性占59.4%,即每人每年3.2次。这比男性的访问量要高。白人的访问率高于黑人。每10次就诊中有6次是向初级保健提供者就诊。受伤相关的就诊占所有办公室就诊的11.8%,即每年8460万次。每年与受伤有关的办公室就诊率为每100人32.2次。去看医生最常见的原因是进行一般体检(6.8%)。咳嗽是最常见的症状性原因。急性呼吸道感染和原发性高血压是最常见的诊断。
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