van Suijlekom-Smit L W, Bruijnzeels M A, van der Wouden J C, van der Velden J, Visser H K, Dokter H J
Academisch Ziekenhuis/Sophia Kinderziekenhuis, Rotterdam.
Ned Tijdschr Geneeskd. 1995 Aug 19;139(33):1684-9.
To determine how often and for what health problems in children general practitioners (GPs) are consulted, and whether this is affected by age, gender, season, socioeconomic status and degree of urbanisation.
Descriptive.
103 general practices (161 GPs) in the Netherlands.
Data from 63,753 children (0-14 years of age) collected in the framework of the Dutch National Survey were used. A random sample of 161 GPs registered all contacts between patient and practice during 3 months. Sociodemographic characteristics of all practice populations were gathered. Health problems were coded according to the International Classification of Primary Care (ICPC). Consultation frequency, morbidity presented, age and gender specific incidence rates were determined, as well as relative risks of presented morbidity relative to sociodemographic characteristics and season.
Children consulted a GP on average 2.8 times per year. Problems from the respiratory tract (upper respiratory tract infection, acute bronchitis, coughing and acute tonsillitis) and acute otitis media were presented most. The morbidity varied strongly with age. Children from low socioeconomic strata and children living in larger cities presented more problems (in particular respiratory and ear problems).
The GP is confronted with a great diversity of health problems in children. The variation in consultation frequency and morbidity according to selected sociodemographic characteristics showed that presentation of information in more detail by age is necessary in order to obtain optimal insight.
确定儿童因何种健康问题以及多频繁地咨询全科医生（GP），以及这是否受年龄、性别、季节、社会经济地位和城市化程度的影响。
描述性研究。
荷兰的103家全科诊所（161名全科医生）。
使用在荷兰全国调查框架内收集的63753名儿童（0至14岁）的数据。161名全科医生的随机样本记录了3个月内患者与诊所之间的所有接触情况。收集了所有诊所人群的社会人口学特征。健康问题根据国际初级保健分类（ICPC）进行编码。确定了咨询频率、出现的发病率、年龄和性别特异性发病率，以及所呈现发病率相对于社会人口学特征和季节的相对风险。
儿童平均每年咨询全科医生2.8次。呼吸道问题（上呼吸道感染、急性支气管炎、咳嗽和急性扁桃体炎）和急性中耳炎最为常见。发病率随年龄有很大差异。社会经济地位较低阶层的儿童和生活在大城市的儿童出现的问题更多（特别是呼吸道和耳部问题）。
全科医生面临儿童各种各样的健康问题。根据选定的社会人口学特征，咨询频率和发病率的差异表明，为了获得最佳洞察力，有必要按年龄更详细地呈现信息。
