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[人们为何联系医生?初级卫生保健核心分类的发展]

[Why do people contact physicians? The development of the core classification of primary health care].

作者信息

Bentsen B G, Hjortdahl P

机构信息

Institutt for samfunnsmedisinske fag Universitetet i Trondheim.

出版信息

Tidsskr Nor Laegeforen. 1991 Sep 30;111(23):2867-70.

PMID:1948889
Abstract

The Norwegian study on reasons for contacting physicians comprised part of a large international project. The aim of this project was to develop an international classification of the different reasons why patients contact the health services. In 1978 the World Health Organization appointed an expert working party and outlined the principles for the new classification, based mainly on other WHO classifications. A trial version of the classification was tested by general practitioners in nine countries. The Norwegian study involved 11 general practionners. It comprised 8,337 consecutive encounters and 11,865 reasons for these encounters. 65% of the reason were symptoms or observational diagnosis, 13% were specific diagnoses. 16% of the reasons were preventive, diagnostic or therapeutic procedures. 6% contacted the physician for administrative reasons. The International Classification of Primary Care is simple, logical and easy to use. It is based on extensive research carried out in general practice. It represents the bio-psycho-social "whole person" concept of primary care. ICPC includes WHO-approved cross-codes for the International Classification of Diseases, ICD.

摘要

挪威关于患者联系医生原因的研究是一个大型国际项目的一部分。该项目的目的是制定一个关于患者联系医疗服务机构不同原因的国际分类。1978年,世界卫生组织任命了一个专家工作小组,并主要依据世界卫生组织的其他分类概述了新分类的原则。该分类的试行版本在9个国家由全科医生进行了测试。挪威的研究涉及11名全科医生。它包括8337次连续诊疗以及这些诊疗的11865个原因。65%的原因是症状或观察性诊断,13%是具体诊断。16%的原因是预防性、诊断性或治疗性程序。6%的患者因行政原因联系医生。《国际初级保健分类》简单、合理且易于使用。它基于在全科医疗中开展的广泛研究。它体现了初级保健的生物 - 心理 - 社会“全人”概念。ICPC包括世界卫生组织批准的用于《国际疾病分类》(ICD)的交叉编码。

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