Furst A
Kupat Holim Clalit, Jerusalem, Israel.
Public Health Rev. 1992;20(3-4):307-12.
Throughout the 1991 Gulf War a rural Family Medicine practice in central Israel, situated 20 km from the nearest Scud missile attack area, continued to operate normally. During this period a reduction of more than 50% in clinic visits was recorded. The volume of requests for emergency care remained unchanged but elective hospital admissions decreased. Surprisingly, few new patients were diagnosed with anxiety states and no marked increase was registered in anxiolytic drug prescribing. Many patients, however, expressed feelings of deviance for not conforming with nationally sanctioned and endorsed anxiety levels. The decline in clinic visits noted was probably mediated through a temporary drop in practice accessibility due to the altered population mobility patterns caused by the war. During the 1991 Gulf War the Israeli population suffered not only the general stresses and strains of being in an active war zone but also the real tensions and anxieties associated with night-time attacks on the country by Iraqi Scud missiles. This article describes some of the ways which one rural family medicine practice in central Israel was affected by the dramatic if short-lived events of this war.
在1991年海湾战争期间，以色列中部一家乡村家庭医疗诊所继续正常运营，该诊所距离最近的飞毛腿导弹袭击区域有20公里。在此期间，诊所就诊量减少了50%以上。急诊护理请求量保持不变，但择期住院人数有所下降。令人惊讶的是，很少有新患者被诊断为焦虑症，抗焦虑药物的处方量也没有显著增加。然而，许多患者因不符合国家认可和支持的焦虑水平而表达了异常感。就诊量下降可能是由于战争导致人口流动模式改变，使得诊所的可及性暂时降低。在1991年海湾战争期间，以色列民众不仅承受着身处战区的一般压力和紧张，还遭受着伊拉克飞毛腿导弹夜间袭击该国所带来的真实紧张和焦虑。本文描述了以色列中部一家乡村家庭医疗诊所受到这场战争短暂但剧烈事件影响的一些方式。
