Claussen B, Nygård J F
Gruppe for trygdemedisin Instituttgruppe for samfunnsmedisinske fag Universitetet i Oslo, Blindern.
Tidsskr Nor Laegeforen. 1994 Jun 20;114(16):1806-10.
In a one week registration of consultations by 60 general practitioners, 7% (95% confidence interval 6-8%) of all patients aged 16 to 66 were registered as unemployed. This was 145% of the mean unemployment rates in the municipalities where the doctors practiced. The age and gender composition of the unemployed patients was the same as for all registered unemployed. Psychiatric diagnoses were nearly twice as prevalent among the patients. A fifth of the unemployed patients attended for illnesses and conditions which seemed to relate to the unemployment. Most of them had somatic or mental disorders which probably were caused or worsened by lack of paid work. A few needed to discuss social insurance issues. The study did not support the idea that general practitioners medicalize unemployment problems, but provided no decisive evidence on this complicated question, which will be elaborated further during the next stage of the study.
在60名全科医生进行的为期一周的会诊登记中,16至66岁的所有患者中有7%(95%置信区间6 - 8%)登记为失业。这是医生执业所在市平均失业率的145%。失业患者的年龄和性别构成与所有登记失业者相同。精神科诊断在这些患者中几乎是其他患者的两倍。五分之一的失业患者因似乎与失业有关的疾病前来就诊。他们中的大多数患有躯体或精神障碍,可能是由于缺乏有偿工作所致或病情加重。少数人需要讨论社会保险问题。该研究不支持全科医生将失业问题医学化的观点,但在这个复杂问题上没有提供决定性证据,这将在研究的下一阶段进一步阐述。