de Melker R A, van der Velden J, Kuyvenhoven M M
Department of Family Medicine, University of Utrecht, The Netherlands.
Fam Pract. 1995 Sep;12(3):294-8. doi: 10.1093/fampra/12.3.294.
House calls still seem to be an important element in the work of general practitioners in the Netherlands. A secondary analysis of the data of the Netherlands Institute of Primary Health Care (NIVEL) National Study of Illnesses and Procedures reveals that 15% of the contacts relating to cases of respiratory tract infections are house calls. General practitioners appear to consider carefully whether or not to make house calls. House call figures differ considerably with respect to diagnosis, reasons for encounter and age. Relatively high percentages of house calls occur in cases of lower respiratory tract infections, fever as reason for encounter, for old people and young children. The number of house calls is hardly associated with region, level of urbanization and distance from a hospital. Further research is necessary to establish guidelines for the decision whether or not to make a house call.
上门问诊似乎仍是荷兰全科医生工作中的一个重要组成部分。对荷兰初级卫生保健研究所（NIVEL）全国疾病与诊疗研究数据的二次分析显示，与呼吸道感染病例相关的诊疗中有15%是上门问诊。全科医生似乎会仔细考虑是否进行上门问诊。上门问诊的次数在诊断、就诊原因和年龄方面差异很大。下呼吸道感染、因发热就诊、老年人和儿童的上门问诊比例相对较高。上门问诊的次数与地区、城市化水平和距离医院的远近几乎没有关联。有必要进行进一步研究，以制定关于是否进行上门问诊的决策指南。
