Njalsson T, McAuley R G
Department of Family Medicine, McMaster University, Hamilton, Ontario, Canada.
Scand J Prim Health Care. 1992 Dec;10(4):243-9. doi: 10.3109/02813439209014069.
To establish data on the content of Icelandic family practice, a prospective practice audit was made of all Icelandic health centres with computerized contact data from 1 January to 31 December 1988. The study comprised 17 community health centres in Iceland and their target populations, 13 rural and four urban. The main subjects for study were population characteristics, practice sizes, types of health care providers, and contacts. The study population, 50,865 subjects, comprised 20.2% of the Icelandic population. Rural and urban populations were different and are described separately. The 17 health centres had a mean of 1,152 subjects/doctor. The target population had a total of 257,188 contacts: 155,526 rural contacts, 5.1/subject (3.3 office-, 1.1 phone-, and 0.4 home-contacts); 101662 urban contacts, 5.1/subjects (2.8 office-, 1.6 phone-, and 0.4 home-contacts). During 1988, 88.9% of the rural target population made contact. These data are comparable to data from other countries; the observed office and home contact rates were similar, but phone-calls were more frequent. Computer systems in family practice provide a feasible way to collect data on a regular basis for epidemiological purposes and for performance review.
为确定冰岛家庭医疗的内容数据，对所有拥有1988年1月1日至12月31日计算机化联系数据的冰岛健康中心进行了一项前瞻性医疗审计。该研究涵盖冰岛的17个社区健康中心及其目标人群，其中13个在农村，4个在城市。主要研究对象为人口特征、医疗机构规模、医疗服务提供者类型及联系情况。研究人群为50,865名受试者，占冰岛人口的20.2%。农村和城市人口有所不同，将分别进行描述。17个健康中心平均每位医生负责1,152名受试者。目标人群共有257,188次联系：农村地区155,526次联系，人均5.1次（门诊3.3次、电话1.1次、家访0.4次）；城市地区101,662次联系，人均5.1次（门诊2.8次、电话1.6次、家访0.4次）。1988年期间，88.9%的农村目标人群进行了联系。这些数据与其他国家的数据具有可比性；观察到的门诊和家访率相似，但电话联系更为频繁。家庭医疗中的计算机系统为定期收集用于流行病学目的和绩效评估的数据提供了一种可行的方法。
