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香港大学深圳医院全科门诊健康问题分布:一项横断面研究。

Distribution of health problems at the general outpatients' clinic of the University of Hong Kong-Shenzhen Hospital: A cross-sectional study.

机构信息

Department of General Practice, Shenzhen Hospital, The University of Hong Kong, Shenzhen, China.

Li Ka Shing Faculty of Medicine, The University of Hong Kong, Shenzhen, China.

出版信息

Front Public Health. 2022 Aug 8;10:889819. doi: 10.3389/fpubh.2022.889819. eCollection 2022.

Abstract

OBJECTIVE

The study aimed to understand the distribution of health problems of a general practice clinic to provide guidance on how to develop primary care in Shenzhen, China.

STUDY DESIGN

This is a cross-sectional study.

METHODS

Patients' sociodemographic data and diagnoses were recorded from the electronic medical record system of the University of Hong Kong-Shenzhen Hospital from Jan 2014 to Dec 2020 and coded using the International Classification of Primary Care-2. Descriptive statistics were used to describe the distribution of health problems.

RESULTS

A total of 368,167 health problems were recorded. Respiratory, digestive, musculoskeletal, general, and cardiovascular were the top five categories, which accounted for 67.71% of the total in this study. Acute upper respiratory tract infection (AURTI) was the most common health problem (6.67%). Chronic diseases, including hypertension and diabetes mellitus, accounted for about 7% of all health problems. The proportion of cardiovascular problems increased significantly with age (r = 0.96, < 0.05). The proportion of consultations for mental health problems was low in all age groups.

CONCLUSIONS

The results represent an understanding of the common health problems of patients in Shenzhen city, which can provide a reference for preventing diseases and developing primary care.

摘要

目的

本研究旨在了解全科诊所的健康问题分布,为中国深圳发展基层医疗提供指导。

设计

这是一项横断面研究。

方法

从 2014 年 1 月至 2020 年 12 月,我们使用香港大学深圳医院的电子病历系统记录患者的社会人口学数据和诊断信息,并使用国际初级保健分类-2 进行编码。采用描述性统计方法描述健康问题的分布情况。

结果

共记录了 368167 个健康问题。呼吸系统、消化系统、肌肉骨骼系统、一般健康问题和心血管系统是前五个类别,占本研究总数的 67.71%。急性上呼吸道感染(AURTI)是最常见的健康问题(6.67%)。高血压和糖尿病等慢性病约占所有健康问题的 7%。心血管问题的比例随年龄增长显著增加(r=0.96,<0.05)。各年龄段的心理健康问题咨询比例均较低。

结论

研究结果代表了对深圳市患者常见健康问题的了解,可为疾病预防和基层医疗发展提供参考。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bfe/9393786/43feb54df94c/fpubh-10-889819-g0001.jpg

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