Sriha Belguith Asma, Bouanene Iness, Elmhamdi Sana, Ben Saad Meriem, Ben Salah Aroua, Harizi Chahida, Soltani Essoussi Mohamed
Tunis Med. 2015 Feb;93(2):92-5.
the study of contact patterns, diagnostics assumptions, physical acts performed and procedures in primary care services orient the training of future GPs.
describe the elements of the contact in the Basic Health Centers.
It is a transverse study, describing the elements of contact without appointment, the population served by 4 primary health centers, in Monastir governorate. Days of the survey were identified from the list of working days by taking two weeks per month and per season by excluding the days of chronic diseases. Contacts analyzed have been identified by a systematic random sampling with a step of sounding on two.
in the term of this study, we brought together 910 contacts. The mean age of consultants was 36 years, the sex-ratio H/F 0,38. The respiratory, ostéo-articular, digestive, neurological and general chapter's complaints represented 74% of motives for contacts. The cough and the complaints of throat represented 25% of the reasons for consultation. The lung examination, Oto-rhino laryngeal and cardiovascular represented 80% of physical examinations. The pharyngitis, the infections of the superior respiratory tracts, acute bronchitises, flu and allergic rhinitis represented the half of the assumptions. Antibiotics, anti-inflammatory and the antipyretic/analgesic accounted for 69% of prescriptions.
this study allowed us to show the lack of preventive measures in the health center base and highlight the training of future family physicians must be based systems the most prevalent in primary care.
对初级保健服务中的接触模式、诊断假设、身体行为和程序的研究为未来全科医生的培训提供指导。
描述基本卫生中心接触的要素。
这是一项横断面研究，描述了突尼斯莫纳斯提尔省4个初级卫生中心服务人群中无预约接触的要素。通过每月选取两周、每个季节排除慢性病日，从工作日列表中确定调查日。通过系统随机抽样，抽样间隔为2，确定分析的接触情况。
在本研究期间，我们汇总了910次接触情况。就诊者的平均年龄为36岁，性别比（男/女）为0.38。呼吸、骨关节、消化、神经和全身章节的主诉占接触动机的74%。咳嗽和喉咙主诉占咨询原因的25%。肺部检查、耳鼻喉和心血管检查占体格检查的80%。咽炎、上呼吸道感染、急性支气管炎、流感和过敏性鼻炎占诊断假设的一半。抗生素、抗炎药和解热/镇痛药占处方的69%。
本研究使我们能够表明基层卫生中心缺乏预防措施，并强调未来家庭医生培训必须基于初级保健中最普遍存在的系统。
