[按需使用普通医疗服务的患者特征]
[Characteristics of the patient overusing on-demand general medical services].
作者信息
Fuertes Goñi M C, Alvarez Tutor E, García de la Noceda Montoya M D, Fernández Velilla Ruiz de la Torre M, Echarte Osacain E, Abad Vicente J
机构信息
Centro de Salud de Chantrea, Pamplona.
出版信息
Aten Primaria. 1994 Oct 15;14(6):809-14.
OBJECTIVE
To determine the characteristics and reasons for consultation of the patient who over-uses on-demand general medical services.
DESIGN
A case-control study of a sample of over-user patients and a control group of normal users.
SETTING
The Chantrea Health Centre in Pamplona during 1991.
PATIENTS AND OTHER PARTICIPANTS
An age and gender-stratified sample of 411 over user patients and a control group of normal users were selected.
MAIN MEASUREMENTS AND RESULTS
Over-users corresponded to 5% to those attending. We found no significant differences for gender, but we did for age (p < 0.001), regarding the control group; 84% of over-users had a chronic associated pathology. Comparatively, over-users made more bureaucratic and prescription visits (35%) and attended less scheduled appointments.
CONCLUSIONS
The over-users is associated to being older and especially to having a chronic pathology and not attending scheduled appointments.
目的
确定过度使用按需提供的普通医疗服务的患者的特征及咨询原因。
设计
对过度使用医疗服务的患者样本和正常使用医疗服务的对照组进行病例对照研究。
地点
1991年期间潘普洛纳的尚特雷亚健康中心。
患者及其他参与者
选取了411名过度使用医疗服务的患者组成的按年龄和性别分层的样本以及正常使用医疗服务的对照组。
主要测量指标及结果
过度使用医疗服务的患者占就诊患者的5%。我们发现，与对照组相比，性别方面无显著差异，但年龄方面存在显著差异（p<0.001）；84%的过度使用医疗服务的患者患有慢性相关疾病。相比之下，过度使用医疗服务的患者进行更多的官僚性就诊和处方就诊（35%），而较少参加预约就诊。
结论
过度使用医疗服务与年龄较大有关，尤其与患有慢性疾病以及不参加预约就诊有关。
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