谁去看全科医生?一项基于芬兰城市登记的研究。

IF 1.3 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Mika T Lehto, Timo Kauppila, Hannu Kautiainen, Ossi Rahkonen, Merja K Laine, Kaisu Pitkälä
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引用次数: 0

摘要

这是一项以登记簿为基础的研究,旨在考察芬兰万塔市公共初级卫生保健机构中全科医生(GPs)所做诊断的分布情况。数据来自电子健康记录(EHR)系统,包括2016年1月1日至2018年12月31日期间输入电子健康记录系统的每一条记录。报告和计算了第十版国际疾病分类(ICD-10)诊断记录的绝对数量和相对比例。在全科医生就诊中,最常见的 88 项诊断占所有诊断的 75%。最常见的诊断与肌肉骨骼系统(3.8%,ICD 代码 M54)和呼吸系统(6.0%,ICD-10 代码 J06)有关。使用全科医生初级保健服务的主要是儿童(65 岁)。健康检查--主要是儿童和产科诊所的预约/就诊--占全科医生门诊量的 20%。与男性相比,15-79 岁的女性到全科医生处就诊的次数相对较多。88 种最常见的诊断占全科医生门诊的大多数。健康体检是全科医生工作的重要组成部分。在芬兰的一个城市,使用全科医生服务的主要是儿童和老年人。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Who visits primary health care general practitioners and why? A register-based study in a Finnish city.

This is a register-based study that examines the distribution of diagnoses made by general practitioners (GPs) in the public primary health care of the city of Vantaa, Finland. Data were gathered from the electronic health record (EHR) system and consisted of every record entered into the EHR system between 1 January 2016 and 31 December 2018. Both absolute numbers and relative proportions of the 10th edition of International Classification of Diseases (ICD-10) diagnosis recordings were reported and calculated. Among GP visits, the 88 most common diagnoses covered 75% of all diagnoses. The most common diagnoses were related to the musculoskeletal (3.8%, ICD code M54) and respiratory systems (6.0%, ICD-10 code J06). Primary health care GP services were mostly used by children (age <5 years) and older adults (>65 years). Health examinations - mostly children's and maternity clinics appointments/visits - covered 20% of the GP office visits. Women between the ages 15-79 years had relatively more GP visits compared to men. The 88 most commonly recorded diagnoses covered the majority of the GP visits. Health examinations for the healthy were an important part of GPs' work. In an urban Finnish city, GP services were predominantly used by children and older adults.

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来源期刊
International Journal of Circumpolar Health
International Journal of Circumpolar Health 医学-公共卫生、环境卫生与职业卫生
CiteScore
2.10
自引率
15.40%
发文量
51
审稿时长
6-12 weeks
期刊介绍: The International Journal of Circumpolar Health is published by Taylor & Francis on behalf of the Circumpolar Health Research Network [CircHNet]. The journal follows the tradition initiated by its predecessor, Arctic Medical Research. The journal specializes in circumpolar health. It provides a forum for many disciplines, including the biomedical sciences, social sciences, and humanities as they relate to human health in high latitude environments. The journal has a particular interest in the health of indigenous peoples. It is a vehicle for dissemination and exchange of knowledge among researchers, policy makers, practitioners, and those they serve. International Journal of Circumpolar Health welcomes Original Research Articles, Review Articles, Short Communications, Book Reviews, Dissertation Summaries, History and Biography, Clinical Case Reports, Public Health Practice, Conference and Workshop Reports, and Letters to the Editor.
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