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芬兰职业健康服务作为疾病相关初级保健一部分的作用。

Role of the occupational health services as a part of illness-related primary care in Finland.

作者信息

Räsänen K, Notkola V, Kankaanpää E, Peurala M, Husman K

机构信息

Kuopio Regional Institute of Occupational Health, Finland.

出版信息

Occup Med (Lond). 1993;43 Suppl 1:S23-7.

PMID:8241486
Abstract

The aim of the study was to evaluate the employees' illness-related utilization of physicians' services in Finland with special reference to Occupational Health Services (OHS). The data are based on a national health-survey conducted by a Computer Assisted Telephone Interview (CATI) in autumn 1991. There were 1,856 people aged 25-64 interviewed. The "risk" of having visited a physician in six months was in association with perceived chronic illness and gender. Half of those employees who were covered by OHS (90% of all) usually visited their OHS unit for health problems. The potential use of the OHS unit depended on the OHS model. The study shows that the Finnish employees use OHS units for physicians' services a lot and this might have implications in the planned reorganization of the Finnish primary care to the so-called population responsibility-based system.

摘要

该研究的目的是评估芬兰员工与疾病相关的医生服务利用情况,特别提及职业健康服务(OHS)。数据基于1991年秋季通过计算机辅助电话访谈(CATI)进行的一项全国健康调查。共采访了1856名年龄在25至64岁之间的人。在六个月内看过医生的“风险”与感知到的慢性病和性别有关。在职业健康服务覆盖的员工中(占所有员工的90%),有一半的人通常因健康问题前往职业健康服务部门就诊。职业健康服务部门的潜在使用情况取决于职业健康服务模式。该研究表明,芬兰员工大量使用职业健康服务部门的医生服务,这可能会对芬兰初级保健计划重组为所谓的基于人群责任的系统产生影响。

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