Ortiz A, Herrera T, Pérez del Molino C, Piñeiro F, Perales M L, Muñoz P
Unidad Docente de Medicina Familiar y Comunitaria, Centro de Salud de Cazoña, Santander, Cantabria.
Rev Sanid Hig Publica (Madr). 1992 Jan-Feb;66(1):71-82.
With the aim of finding out the prevalence and the origin of the skin disease in primary health care, a prospective study was carried out over the period of May to October of 1989 in an urban health centre, with the support of the dermatologist and using iconographic means. The 395 cases considered made up 4.85% of all the medical examinations. A limited number of diagnoses (11) made up the majority of the medical examinations (70%). 19% were referred to the dermatologist. 23% of those diagnosed were not consulted for the patient, including two malign tumours.
skin disease has a relevant place in primary health care clinics; the dermatological training of the primary health care doctor should be aimed at the most frequent diagnoses in his setting; active detection of skin lesions is very important.
为了查明初级卫生保健中皮肤病的患病率及病因，1989年5月至10月期间，在一名皮肤科医生的支持下，于一个城市卫生中心开展了一项前瞻性研究，并采用了图像手段。所考虑的395例病例占所有医学检查的4.85%。数量有限的诊断（11种）构成了大部分医学检查（70%）。19%的病例被转诊至皮肤科医生处。23%被诊断出的病例未为患者进行咨询，其中包括两例恶性肿瘤。
皮肤病在初级卫生保健诊所中占有重要地位；初级卫生保健医生的皮肤科培训应针对其所在环境中最常见的诊断；积极检测皮肤病变非常重要。
