Svab I, Zaletel-Kragelj L
University Institute of Public Health and Social Welfare, Ljubljana, Slovenija.
Scand J Prim Health Care. 1993 Mar;11(1):38-43. doi: 10.3109/02813439308994900.
To compare frequent with infrequent attenders at GPs' surgeries in a rural area in Slovenia with respect to morbidity, type of contact with the GP, referral pattern and the prescriptions given, a random sample of 623 records from a population-based register was analysed retrospectively. The frequent attenders had a higher proportion of contacts for malignant disease, mental disorder, and gastrointestinal disease. They also had a greater probability for a "superficial contact", were more likely to be referred to a specialist, were less likely to receive a psychotropic drug, and were more likely to receive a prescription for an antibiotic. We conclude that there are differences in morbidity between the two groups. The high referring pattern and the high proportion of "superficial contacts" of the frequent attenders may reflect poor doctor/patient relationship of this group.
为比较斯洛文尼亚农村地区全科医生诊所的频繁就诊者和非频繁就诊者在发病率、与全科医生的接触类型、转诊模式及所开处方方面的差异,我们对基于人群登记册的623份记录随机样本进行了回顾性分析。频繁就诊者中因恶性疾病、精神障碍和胃肠道疾病就诊的比例更高。他们进行“表面接触”的可能性也更大,更有可能被转诊至专科医生,接受精神类药物治疗的可能性更小,而更有可能收到抗生素处方。我们得出结论,两组之间在发病率上存在差异。频繁就诊者的高转诊率和高比例“表面接触”可能反映出该群体中医生与患者关系不佳。