Department of Family Medicine, Poznan University of Medical Sciences, Poznan, Poland.
Health Soc Care Community. 2009 May;17(3):235-43. doi: 10.1111/j.1365-2524.2008.00816.x.
Over 3% of the entire Polish population migrate for a job within the European Union, most are aged 18-44 years. The main destinations are Germany, the United Kingdom and Ireland. Immigration is connected with the use of many public services, including healthcare services. Assuming Polish immigrants require medical consultations in the countries they reside in, the authors have analysed the reasons for patients' visits to general practitioners (GPs) in Poland in order to predict possible reasons why Polish patients living abroad may make appointments with GPs in other countries. Data from 22,769 visits to GP practices between June 2005 and May 2006 by Polish patients aged 18-44 years were collected electronically. Age was categorised into three groups (18-24, 25-4 and 35-44 years) and the reason for the visit was categorised according to the ICD 10 coding system. Among the 12,535 patients registered with GPs, 73.1% of women and 68.6% of men required consultations during the year the study was conducted. The highest percentage of visits was recorded for women aged 35-44 years, while men of the same age were the least likely to visit a GP. The mean number of visits per patient ranged from 1.89 for men aged 25-34 years to 3.11 for women aged 35-44 years. The means were similar for 18- to 24-year-old men and women. Women aged 35-44 years had a higher mean number of visits compared with women aged 18-4 years, whereas the opposite was true for men. The analysis of reasons for visits within the age groups indicated that the percentage of appointments for respiratory problems and general and unspecified problems dropped by more than half from the 18-24-year-olds to the 35-44-years-olds, while visits for musculosceletal, cardiovascular, and mental and behavioural problems increased by a factor of four. The presented results intend to enable healthcare services meet Polish immigrants' healthcare needs.
超过 3%的波兰总人口在欧盟内部迁移以寻找工作，其中大多数人年龄在 18-44 岁之间。主要目的地是德国、英国和爱尔兰。移民与许多公共服务的使用有关，包括医疗保健服务。假设波兰移民在他们居住的国家需要医疗咨询，作者分析了波兰患者在波兰看全科医生（GP）的原因，以便预测居住在国外的波兰患者可能因何种原因预约其他国家的全科医生。2005 年 6 月至 2006 年 5 月期间，波兰年龄在 18-44 岁之间的患者通过电子方式向全科医生就诊，共收集了 22769 次就诊的数据。年龄分为三组（18-24 岁、25-44 岁和 35-44 岁），就诊原因按照 ICD-10 编码系统进行分类。在登记的 12535 名全科医生患者中，73.1%的女性和 68.6%的男性在研究期间需要咨询。女性 35-44 岁年龄段的就诊率最高，而同龄男性就诊率最低。每位患者的平均就诊次数从 25-34 岁男性的 1.89 次到 35-44 岁女性的 3.11 次不等。18-24 岁的男性和女性之间的平均值相似。35-44 岁的女性比 18-44 岁的女性就诊次数更多，而男性则相反。对各年龄段就诊原因的分析表明，与 18-44 岁的女性相比，18-24 岁的女性因呼吸系统问题和一般性及未指明的问题就诊的比例下降了一半以上，而因肌肉骨骼、心血管和精神及行为问题就诊的比例增加了四倍。本研究旨在使医疗保健服务能够满足波兰移民的医疗保健需求。
