Lyons R A, O'Brien D, Flynn M, Mason J, O'Kelly F, Doherty K, Caroll D
Eastern Health Board, Community Care Area 6, Dublin.
Ir Med J. 1992 Jun;85(2):53-4.
This study compares annual consultation rates between 3,111 General Medical Services and private patients, and their family doctors in three large general practices in Dublin. Visiting rates were substantially different between practices and between GMS and private patients. However, GMS patients were older and had 50% more chronic illnesses. When the effects of age and illness were controlled in a multiple regression model, GMS status accounted for less than 5% of the variation in visiting rates. GMS patients consult their practitioners in proportion to their medical need.
本研究比较了都柏林三家大型普通诊所中3111名享受普通医疗服务的患者和自费患者及其家庭医生的年度就诊率。不同诊所之间以及享受普通医疗服务的患者和自费患者之间的就诊率存在显著差异。然而,享受普通医疗服务的患者年龄较大,慢性病数量多出50%。在多元回归模型中对年龄和疾病的影响进行控制后,普通医疗服务状态在就诊率变化中所占比例不到5%。享受普通医疗服务的患者根据其医疗需求就诊。