Johnsen N, Engelstad F, Bruusgaard D
Frogner Health Center, Oslo, Norway.
Scand J Prim Health Care. 1988 Sep;6(3):155-60. doi: 10.3109/02813438809009309.
The extent of the GP's contact with families with children, and the influence of family characteristics upon the utilization of health care have been registered. Seventy-one families in a rural district in Norway were followed for two and a half years. On average, the GP had approximately one contact per month with one member of each family. Demographic family data, such as age or number of children, were not found to be of great significance for the number of contacts. Children's encounters with the GPs correlated with those of the mothers, but not with those of the fathers. The most important factors influencing the families' use of health services were the prevalence of chronic illness, psychological stability in parents, and the occurrence of changes in family composition. The gains from approaching the family as a unit are discussed.
全科医生与有孩子家庭的接触程度，以及家庭特征对医疗保健利用的影响已被记录下来。挪威一个农村地区的71个家庭被跟踪了两年半。平均而言，全科医生每月与每个家庭的一名成员约有一次接触。人口统计学的家庭数据，如年龄或孩子数量，对接触次数的影响不大。孩子与全科医生的接触与母亲的接触相关，但与父亲的接触无关。影响家庭使用医疗服务的最重要因素是慢性病的患病率、父母的心理稳定性以及家庭构成的变化。文中讨论了将家庭作为一个整体来对待所带来的好处。
