Bjelle A, Allander E, Magi M
J Rheumatol. 1980 Nov-Dec;7(6):877-85.
Rheumatological diagnosis encountered at 3 levels of the health care system primary care, district hospital and specialized centers, were registered. The prevalence of rheumatic disorders was calculated from a population survey. Back complaints were the predominant diagnosis of primary care physicians, while inflammatory diseases were the major diagnostic group seen in specialized rheumatology centers. Among in-patients at the district hospital level, back disorders and inflammatory diseases each constituted 1/2 of cases. The utilization of primary care for patients over 65 yr of age decreased for back disorders but was higher for all other types of rheumatic disorders. Young and middle aged patients were seen more frequently by specialists than older patients. Awareness of the high frequency of noninflammatory rheumatic disorders in the population and at all levels of care is important in the planning of health services for the rheumatic disorders.
记录了在初级保健、地区医院和专科中心这三个医疗保健系统层面遇到的风湿病诊断情况。通过人口调查计算出风湿性疾病的患病率。背部疾病是初级保健医生的主要诊断，而炎症性疾病是专科风湿病中心所见的主要诊断类别。在地区医院层面的住院患者中，背部疾病和炎症性疾病各占病例的一半。65岁以上患者因背部疾病对初级保健的利用率下降，但对所有其他类型的风湿性疾病的利用率更高。专科医生诊治年轻和中年患者的频率高于老年患者。在规划风湿性疾病的卫生服务时，认识到人群中和各级医疗保健中非炎症性风湿性疾病的高发病率很重要。
