未就诊个体的特征。
Characteristics of individuals not visiting their primary care provider.
机构信息
Division of General Medicine and Primary Care, Brigham and Women's Hospital, 1620 Tremont St, Rm 3-002P, Boston, Massachusetts 02120 USA ; Department of Health Care Policy and Center for Primary Care, Harvard Medical School, Boston, USA ; Ariadne Labs, a Joint Center for Health Systems Innovation, Brigham and Women's Hospital and Harvard School of Public Health, Boston, USA.
Ariadne Labs, a Joint Center for Health Systems Innovation, Brigham and Women's Hospital and Harvard School of Public Health, Boston, USA ; Department of Medicine, Brigham and Women's Hospital, 75 Francis Street, Boston, Massachusetts 02115 USA.
出版信息
Isr J Health Policy Res. 2014 Nov 28;3:40. doi: 10.1186/2045-4015-3-40. eCollection 2014.
The observational study by Rosen and colleagues described the proportion and characteristics of individuals who do not visit their primary care physician regularly. Overall, they identify a very low rate of non-attendance, high rates of visit frequency, and describe predictors of non-attendance. In this study of 421,012 individuals, only 6,217 (or, 1.5% of the study population) did not visit their primary care physician over the four-year study period. Multivariate analysis showed that the strongest predictors of non-attendance were being male, being a new immigrant, and the presence of fewer chronic diseases. This study raises important questions about why patients seem to be so engaged with primary care in Israel, whether this engagement explains part of the Israeli health system's success, and ways to best structure primary care services in the future.
罗森及其同事进行的观察性研究描述了不经常去看初级保健医生的个体的比例和特征。总的来说，他们发现不就诊的比例非常低，就诊频率很高，并描述了不就诊的预测因素。在这项对 421012 人的研究中，只有 6217 人（占研究人群的 1.5%）在四年的研究期间内没有去看初级保健医生。多变量分析表明，不就诊的最强预测因素是男性、新移民和慢性病较少。这项研究提出了一些重要的问题，即为什么患者在以色列似乎如此热衷于初级保健，这种参与是否解释了以色列卫生系统成功的部分原因，以及未来如何最好地构建初级保健服务。
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