Wiesner G
Institut für Sozialhygiene und Organisation des Gesundheitswesens, Maxim, Zetkin.
Z Gesamte Hyg. 1990 Jan;36(1):14-6.
8.6% of the inhabitants of a rural community called for a physician's visit to their homes during a period of 12 months. 2.9% of the population were medically attended to exclusively in their homes. Health care in the patient's home is above all provided to chronically ill, disabled and care-needing persons at old age (73.8% of all visits to the patient's homes). Almost 50% of all visits to the patient's homes are made to elderly women because of diseases of the circulatory system. Geriatric issues are predominant in health care in the patient's home. The ranking order of the diseases most frequently diagnosed in the patient's home differs from that observed in the General Practitioner's consultations. Hospitalizations resulting from visits to the patient's home have, as a rule, the nature of emergency measures. The need for a visit to a patient's home is determined more often by the patient's state of health rather than by nosologically oriented diagnoses. Medical diagnoses made in the patient's home characterize the care situation at home only to a limited degree.
在12个月的时间里，一个农村社区8.6%的居民要求医生上门看病。2.9%的人口仅在家中接受医疗护理。患者家中的医疗保健首先提供给慢性病患者、残疾人和老年需要护理的人（占所有上门看病的73.8%）。几乎所有上门看病的人中，有50%是因为循环系统疾病而前往老年女性家中。老年问题在患者家中的医疗保健中占主导地位。患者家中最常诊断出的疾病的排序与全科医生会诊中观察到的不同。因上门看病导致的住院通常属于紧急措施的性质。上门看病的需求更多地取决于患者的健康状况，而不是病因学诊断。在患者家中做出的医学诊断仅在有限程度上表征了家中的护理情况。
