Peppas George, Theocharis George, Karveli Efthymia A, Falagas Matthew E
Alfa Institute of Biomedical Sciences, Athens, Greece.
BMC Health Serv Res. 2006 Sep 5;6:112. doi: 10.1186/1472-6963-6-112.
Physicians house calls to patients have been declining in many countries of the world. The objective of this study was to describe the patterns of utilization of house call services provided by SOS doctors in the area of Attica, Greece.
We performed a retrospective analysis of data regarding house call visits of patients in the area of Attica (metropolitan area of Athens and surrounding cities), Greece. Characteristics of patients who received house call services by a physician, including diagnosis, and recommended management plan, including advice for hospitalization were analyzed.
SOS doctors in the area of Attica, Greece performed 98,009 house calls during the 5-year study period (1/11/2000-31/10/2005). Patients older than 65 years requested 47.8% of the house calls. Females requested more house calls during the studied period compared to males (59.4% versus 40.6%, p < 0.001). The majority of the diagnoses (18.4%) were infections of the upper and lower respiratory tract. 9.1% of patients were advised after the evaluation at home to be admitted to a hospital to receive inpatient services.
Our analysis documents the utilization of house calls by SOS doctors in the area of Attica, Greece during a 5-year period. We believe that house calls provided by individual practitioners, physician group practices, or organized companies and organizations should re-gain their well-deserved position in the modern health care systems.
在世界上许多国家，医生上门为患者看病的情况一直在减少。本研究的目的是描述希腊阿提卡地区SOS医生提供的上门医疗服务的使用模式。
我们对希腊阿提卡地区（雅典大都市区及周边城市）患者的上门就诊数据进行了回顾性分析。分析了接受医生上门医疗服务的患者特征，包括诊断情况，以及推荐的管理计划，包括住院建议。
在为期5年的研究期间（2000年11月1日至2005年10月31日），希腊阿提卡地区的SOS医生进行了98,009次上门看病服务。65岁以上的患者要求了47.8%的上门看病服务。在研究期间，女性要求的上门看病服务比男性更多（59.4%对40.6%，p<0.001）。大多数诊断（18.4%）为上呼吸道和下呼吸道感染。9.1%的患者在接受家庭评估后被建议住院接受住院服务。
我们的分析记录了希腊阿提卡地区SOS医生在5年期间上门看病服务的使用情况。我们认为，个体从业者、医生团体诊所或有组织的公司和机构提供的上门看病服务应在现代医疗保健系统中重新获得其应有的地位。
