Salava A, Oker-Blom A, Remitz A
Department of Dermatology and Allergology Helsinki University Hospital Helsinki Finland.
Skin Health Dis. 2021 Jun 5;1(3):e53. doi: 10.1002/ski2.53. eCollection 2021 Sep.
Skin-related conditions are the frequent cause of doctors' consultations in primary care.
Based on nationwide data bank information of the Finnish Institute for Health and Welfare, we analysed the 20 most frequent main diagnoses for each ICD-10 category of all general practitioners' visits in the public health care in Finland over the years 2015-2019.
The total amount of doctor's visits was 19 204 613 of which 1 489 228 consultations (7.80%) had a skin-related condition as the main diagnosis. The most frequent skin-related conditions were eczematous eruptions, bacterial skin infections and benign skin neoplasms accounting for 749 351 consultations (50.32%). The spectrum of skin-related conditions was diverse, with a large quantity of rarer diagnoses. Some diagnoses showed significant proportional changes.
The results demonstrate that a limited amount of conditions comprises most of the skin-related consultations in primary care in Finland. Undergraduate education in dermatology should concentrate on the most frequent conditions seen by general practitioners, but also address the wide range of skin problems.
皮肤相关疾病是基层医疗中患者就诊的常见原因。
基于芬兰健康与福利研究所的全国数据库信息，我们分析了2015年至2019年芬兰公共医疗体系中所有全科医生就诊的国际疾病分类第十版（ICD - 10）各分类下20种最常见的主要诊断。
就诊总量为19204613次，其中1489228次会诊（7.80%）以皮肤相关疾病作为主要诊断。最常见的皮肤相关疾病是湿疹样皮疹、细菌性皮肤感染和良性皮肤肿瘤，占749351次会诊（50.32%）。皮肤相关疾病谱多样，有大量较为罕见的诊断。一些诊断显示出显著的比例变化。
结果表明，在芬兰基层医疗中，数量有限的几种疾病构成了大部分皮肤相关会诊。皮肤科本科教育应专注于全科医生最常遇到的疾病，但也应涵盖广泛的皮肤问题。
