Spitzer W O, Harth M, Goldsmith C H, Norman G R, Dickie G L, Bass M J, Newell J P
J Rheumatol. 1976 Mar;3(1):88-99.
Surveys conducted in five areas of Southern Ontario obtained clinical and service utilization data from 5,478 adults over 25 years of age. The two week period prevalence rates of arthritic and rheumatic (AR) complaints were 1.72 per cent and 2.14 per cent among two groups of users of primary care. In free-living general populations, the rates ranged from 6.23 per cent to 8.84 per cent. It was shown that only 25 per cent of complainants with AR symptoms sought health services. Of all adults seen by family physicians in one year, 28 per cent presented at least once with an AR complaint. While 20 per cent of all respondents reported some physical impairment, 43 per cent of those with AR complaints had impairment. The excess impairment was two per cent. Complaints with AR symptoms used health services at costs 78 per cent higher than the average expenditures in the same communities. The essential role of the primary care practitioner in the identification and control of AR disorders is strongly supported.
在安大略省南部五个地区进行的调查从5478名25岁以上的成年人中获取了临床和服务使用数据。在两组初级保健使用者中，关节炎和风湿病（AR）主诉的两周患病率分别为1.72%和2.14%。在自由生活的普通人群中，患病率在6.23%至8.84%之间。结果显示，只有25%有AR症状的主诉者寻求医疗服务。在家庭医生一年中诊治的所有成年人中，28%至少有一次AR主诉。虽然20%的所有受访者报告有一些身体损伤，但有AR主诉的人中有43%有损伤。额外损伤率为2%。有AR症状的主诉者使用医疗服务的费用比同一社区的平均支出高出78%。这有力地支持了初级保健从业者在识别和控制AR疾病方面的重要作用。
