Whitburn Sara, Costelloe Céire, Montgomery Alan A, Redmond Niamh M, Fletcher Margaret, Peters Tim J, Hay Alastair D
Department of Community Based Medicine, University of Bristol, Bristol, UK.
Prim Health Care Res Dev. 2011 Apr;12(2):123-34. doi: 10.1017/S146342361000040X.
Primary care providers and researchers wishing to estimate study recruitment rates need estimates of illness frequency in primary care. Previous studies of children's symptoms have found that presentations are most common for the symptoms: cough, fever, earache, rash, diarrhoea and vomiting. Since 2000, primary care provision in the United Kingdom has changed with the introduction of Walk-in-Centres (WICs) and new Out of Hours (OoHs) providers.
To describe the type and frequency of parent-reported presenting symptoms at a range of primary care sites between 2005 and 2007.
Parent-reported presenting symptoms, recorded in their own words, were extracted from data collected from all children aged six months to six years during recruitment to a randomised controlled trial. Presenting symptoms were coded and presented as frequency per 100 'consulting sessions' by type of primary care site.
Results were evaluated from 2491 episodes of illness at 35 sites. When grouped by primary care site, respiratory symptoms were the most common at OoHs centres, the WIC and general practitioner (GP) surgeries. Trauma symptoms were common in the Emergency Department, but unexpectedly, diarrhoea and vomiting were more common in the Emergency Department and skin presenting symptoms more common at the WIC than at GP sites.
We report the relative frequency of acute symptoms by type of primary care provider. These data may be useful to those planning recruitment to primary care paediatric studies and policy makers for planning primary care service provision.
希望估算研究招募率的初级医疗服务提供者和研究人员需要了解初级医疗中疾病的发生频率。此前关于儿童症状的研究发现，咳嗽、发烧、耳痛、皮疹、腹泻和呕吐等症状最为常见。自2000年以来，随着随诊中心（WICs）的引入和新的非工作时间（OoHs）服务提供者的出现，英国的初级医疗服务发生了变化。
描述2005年至2007年期间一系列初级医疗场所中家长报告的就诊症状的类型和频率。
从一项随机对照试验招募的所有6个月至6岁儿童的数据中提取家长用自己的语言报告的就诊症状。对就诊症状进行编码，并按初级医疗场所类型以每100次“咨询就诊”的频率呈现。
对35个场所的2491例疾病发作情况进行了评估。按初级医疗场所分组时，呼吸道症状在非工作时间中心、随诊中心和全科医生（GP）诊所最为常见。创伤症状在急诊科很常见，但出乎意料的是，腹泻和呕吐在急诊科更常见，皮肤就诊症状在随诊中心比在全科医生场所更常见。
我们报告了按初级医疗服务提供者类型划分的急性症状的相对频率。这些数据可能对那些计划招募初级医疗儿科研究对象的人员以及规划初级医疗服务提供的政策制定者有用。
