Nylenna M
Scand J Prim Health Care. 1985 Sep;3(3):155-62. doi: 10.3109/02813438509013938.
The patients' reasons for encounter were recorded in 10 278 personal doctor-patient contacts in nine Norwegian municipalities over a two-month period, and were classified according to a simplified version of the WHO "Reason for Encounter Classification". A two-dimensional classification system was used where each reason was classified according to the location and type of problem. Symptoms and complaints made up 64.9% of all encounters. Most of the encounters were related to the musculo-skeletal, circulatory and female genital systems. The most frequent single reason for encounter was pain in the musculo-skeletal system (15.5% of all encounters). Psychological and social reasons were rather infrequent 3.1% and 0.3%. Compared with the frequencies of psychiatric and social diagnoses recorded in general practice, this indicates a discrepancy between the patient's own opinion of problems and the doctor's interpretations. Females had a significantly higher contact rate than males, mainly due to problems related to the genital system, inclusive of the breast.
在两个月的时间里，对挪威九个市镇的10278次个人医患接触中患者的就诊原因进行了记录，并根据世界卫生组织“就诊原因分类”的简化版本进行了分类。采用了二维分类系统，其中每个原因根据问题的位置和类型进行分类。症状和主诉占所有就诊的64.9%。大多数就诊与肌肉骨骼、循环和女性生殖系统有关。最常见的单一就诊原因是肌肉骨骼系统疼痛（占所有就诊的15.5%）。心理和社会原因相当少见，分别为3.1%和0.3%。与全科医疗中记录的精神科和社会诊断频率相比，这表明患者对问题的自我看法与医生的解释之间存在差异。女性的接触率明显高于男性，主要是由于与生殖系统（包括乳房）相关的问题。
