Howe Amanda, Parry Glenys, Pickvance Debbie, Hockley Brian
School of Medicine, Health Policy and Practice, University of East Anglia, Norwich.
Br J Gen Pract. 2002 Jul;52(480):561-2.
Primary care patients who attend significantly more frequently than the norm present a clinical challenge and implications for resource usage. However, studies are methodologically diverse in their definitions of frequent attendance, and do not always standardise for age and sex. This study shows that studies that do not correct for age and sex variations in consultation will miss a significant proportion of patients whose behaviour differs widely from their peers. It suggests a simple correction that could be utilised in primary care studies without requiring sophisticated statistical analyses.
就诊频率显著高于正常水平的基层医疗患者带来了临床挑战和资源使用方面的问题。然而,关于频繁就诊的定义,各项研究在方法上存在差异,并且并非总是对年龄和性别进行标准化处理。本研究表明,未对就诊中的年龄和性别差异进行校正的研究,会遗漏很大一部分行为与同龄人差异很大的患者。研究提出了一种简单的校正方法,可用于基层医疗研究,而无需复杂的统计分析。