Beale N, Nethercott S
Br J Gen Pract. 1994 Mar;44(380):105-8.
This study set out to explore the influence that holiday travel might have on the rate at which new episodes of illness are reported to general practitioners.
The study was carried out in a semi-rural practice of five doctors in Wiltshire in 1989. Details of patients' holiday travel were determined by postal questionnaire. Sociodemographic and clinical data were obtained from the patients' medical records.
The response rate to the questionnaire was 85%. The study subjects were divided into those who had taken their holiday abroad (n = 643), those who had taken their holiday in the United Kingdom (n = 973), and those who had taken no holiday (n = 668) during the study year. Interim assessment of clinical results revealed no changes in morbidity indices in relation to holiday intervals in any of the groups except for an apparent rise in the number of new episodes of illness presented in the month before departure by those about to go abroad. Further analysis showed that this was due to a significant 112% increase in the number of episodes of illness presented by this study group in the week before they left home.
This study suggests that the present focus on the supposed excess morbidity of patients returning from foreign holidays is misplaced.
本研究旨在探讨假期旅行可能对向全科医生报告的新发病例发生率产生的影响。
1989年,在威尔特郡一家由五名医生坐诊的半乡村诊所开展了这项研究。通过邮政问卷确定患者假期旅行的详细情况。社会人口统计学和临床数据从患者的病历中获取。
问卷的回复率为85%。研究对象分为在研究年度内出国度假的人(n = 643)、在英国国内度假的人(n = 973)以及未度假的人(n = 668)。对临床结果的中期评估显示,除了即将出国的人在出发前一个月出现的新发病例数量明显增加外,任何一组的发病率指标与假期间隔均无变化。进一步分析表明,这是由于该研究组在离家前一周出现的疾病发作次数显著增加了112%。
本研究表明,目前对从国外度假归来患者所谓过度发病情况的关注是错位的。