Wändell Per, Ljunggren Gunnar, Carlsson Axel C
Division of Family Medicine and Primary Care, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Alfred Nobels allé 23, Huddinge, S-141 83, Sweden.
Center for Primary Health Care Research, Lund University, Malmö, Sweden.
BMC Prim Care. 2025 Aug 1;26(1):235. doi: 10.1186/s12875-025-02938-3.
Primary care is the base in many health care systems, and to identify the most registered diagnoses in primary care is a way to identify the overall health care use and needs in society. We estimated the rates of the 30 most common diagnoses in primary health care and their male to female ratio.
This was a study including inhabitants 18 years and older out of all 2.3 million inhabitants living in Region Stockholm, Sweden. Data on all healthcare appointments from primary care during 2019-2021 were extracted from the Stockholm County Council data warehouse known as VAL. Primary care data were analyzed by underlying population and age. In 2019, only physical visits were available, but during 2021 digital visits were included. For the specific diagnoses, physical and digital visits were merged.
The five most common diagnoses in primary care were: essential hypertension (I10), myalgia (M79), type 2 diabetes (E11), dorsalgia (M54), and pain in joint (M25). The female-to-male ratios were higher for 27 of the 30 most common diagnoses, for example stress reaction (F43), malaise and fatigue (R53), and headache (R51). Chronic ischaemic heart disease (I25), Type 2 diabetes (E11), and Atrial fibrillation (I48) were more common in men.
Most of the common diagnoses in primary care are more often registered in women than in men. The higher presence of diagnoses of pain and mental illness seems to mirror the higher sick leave among women in recent years.
初级保健是许多医疗保健系统的基础，确定初级保健中登记最多的诊断是识别社会整体医疗保健利用情况和需求的一种方式。我们估计了初级卫生保健中30种最常见诊断的发生率及其男女比例。
这是一项针对瑞典斯德哥尔摩地区230万居民中18岁及以上居民的研究。2019 - 2021年期间初级保健所有医疗预约的数据从名为VAL的斯德哥尔摩郡议会数据仓库中提取。初级保健数据按基础人群和年龄进行分析。2019年，仅提供面对面就诊数据，但在2021年纳入了数字就诊数据。对于特定诊断，将面对面就诊和数字就诊合并。
初级保健中最常见的五种诊断是：原发性高血压（I10）、肌痛（M79）、2型糖尿病（E11）、背痛（M54）和关节疼痛（M25）。30种最常见诊断中有27种的女性与男性比例更高，例如应激反应（F43）、不适与疲劳（R53）和头痛（R51）。慢性缺血性心脏病（I25）、2型糖尿病（E11）和心房颤动（I48）在男性中更常见。
初级保健中大多数常见诊断在女性中的登记频率高于男性。疼痛和精神疾病诊断的较高发生率似乎反映了近年来女性较高的病假率。
