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德国门诊医疗服务的利用情况——2019/2020年德国健康访谈与疾病调查(GEDA)-欧洲健康访谈调查(EHIS)的结果

Utilisation of outpatient medical services in Germany - Results from GEDA 2019/2020-EHIS.

作者信息

Prütz Franziska, Rommel Alexander, Thom Julia, Du Yong, Sarganas Giselle, Starker Anne

机构信息

Robert Koch Institute, Berlin Department of Epidemiology and Health Monitoring.

出版信息

J Health Monit. 2021 Sep 15;6(3):45-65. doi: 10.25646/8555. eCollection 2021 Sep.

Abstract

Outpatient health care provision plays an important role in the identification and treatment of health problems. Data are needed on the utilisation of health care services and their determinants to enable health policy decision-making and needs-based care provision. The analyses set out in this article are based on current data on the utilisation of outpatient health care services. The data stem from the German Health Update (GEDA 2019/2020-EHIS), a nationwide cross-sectional survey of the resident population in Germany that is undertaken as part of the health monitoring conducted at the Robert Koch Institute. Around 80% of the population aged 18 or over were treated at least once within twelve months by a general practitioner, 60% by a specialist, and 10% received psychiatric or psychotherapeutic treatment. Less than half of those eligible had had a stool test during the past two years, and just over half had had a colonoscopy in the past ten years. Around 80% of women and 70% of men had had their blood pressure checked within the last year, and 60% had had their blood cholesterol or blood sugar levels monitored. Over 50% reported that they had taken medically prescribed drugs in the past two weeks. In general, most of the indicators under study suggest that utilisation increases with age and that utilisation is higher among women than men, with the exception of psychiatric and psychotherapeutic services, among others.

摘要

门诊医疗服务在健康问题的识别和治疗中发挥着重要作用。需要有关医疗服务利用情况及其决定因素的数据,以便进行卫生政策决策和提供基于需求的医疗服务。本文所阐述的分析基于门诊医疗服务利用情况的当前数据。这些数据源自德国健康更新调查(GEDA 2019/2020-EHIS),这是一项对德国常住人口进行的全国性横断面调查,作为罗伯特·科赫研究所开展的健康监测的一部分。在18岁及以上的人群中,约80%的人在十二个月内至少接受过一次全科医生的治疗,60%的人接受过专科医生的治疗,10%的人接受过精神科或心理治疗。在过去两年中,不到一半符合条件的人进行过粪便检测,在过去十年中,略超过一半的人进行过结肠镜检查。在过去一年中,约80%的女性和70%的男性进行过血压检查,60%的人监测过血液胆固醇或血糖水平。超过50%的人报告称,他们在过去两周内服用过医嘱药物。总体而言,大多数所研究的指标表明,利用率随年龄增长而增加,除精神科和心理治疗服务等外,女性的利用率高于男性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a9f/8734077/643786ba2761/johm-6-3-45-g001.jpg

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