Lamberts H, Hofmans-Okkes I
Department of Family Medicine, University of Amsterdam, The Netherlands.
J Fam Pract. 1996 Feb;42(2):161-7.
The new Institute of Medicine definition of primary care requires that primary care clinicians address the large majority of personal health care needs of their patients. The unit of assessment for this is the episode of care, defined as a health problem from its first encounter with a health care provider through the completion of the last encounter. An episode of care is distinct from an episode of disease or illness. In this article, episode-of-care date from Dutch family practice, classified with the International Classification of Primary Care, illustrate this approach. Data on women 25 to 44 years of age are presented. The top 20 new reasons for encounter and new episodes of care as well as the relations between a reason for encounter (headache) and disease (sinusitis) support the potential of episode-oriented epidemiology and some important clinical considerations in family practice.
美国医学研究所对初级保健的新定义要求初级保健临床医生满足其患者的绝大多数个人医疗需求。对此进行评估的单位是医疗事件，定义为从首次与医疗服务提供者接触到最后一次接触结束的健康问题。一次医疗事件有别于一次疾病发作。在本文中，来自荷兰家庭医疗实践、按照国际初级保健分类法分类的医疗事件日期说明了这种方法。文中给出了25至44岁女性的数据。前20个新就诊原因和新医疗事件以及一个就诊原因（头痛）与疾病（鼻窦炎）之间的关系，支持了以医疗事件为导向的流行病学的潜力以及家庭医疗实践中的一些重要临床考量。
