Ben-Noun L
Dept. of Family Medicine, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheba.
Harefuah. 1996 Mar 1;130(5):308-10, 359.
The pattern that characterized 2790 visits to a primary care clinic by recent immigrants from the former Soviet Union during their first 2 years in Israel was studied. The control group comprised 2689 visits of veteran Israeli patients to the same primary care clinic during the same period. 2/3 of the immigrants visited the clinic in the first year of the study and 1/3 in the second year. Half the veteran Israeli patients visited the clinic in the first year and the other half in the second. The mean number of clinic consultations for the immigrants was 5.2 per patient in the first year as opposed to 3.2 in the second. In the control group there was an average of 3.8 visits in the first year, and 4.1 in the second. The commonest reasons for consultations by immigrants were circulatory diseases, and for the controls, respiratory diseases. In both years there was a significant statistical difference between the number of visits by immigrants which were associated with elevated blood pressure, angina pectoris and psychological problems, compared to veteran Israelis. Thus, most of consultations by immigrants took place in the first year for circulatory diseases. There followed a gradual decrease in consultations, indicating successful management of their medical problems and perhaps adaptation to the behavioral pattern of veteran Israelis.
对前苏联新移民在以色列的头两年里到一家初级保健诊所就诊的2790人次的模式进行了研究。对照组包括同期以色列老患者到同一家初级保健诊所就诊的2689人次。2/3的移民在研究的第一年到诊所就诊，1/3在第二年就诊。一半的以色列老患者在第一年到诊所就诊，另一半在第二年就诊。移民第一年每人平均门诊就诊次数为5.2次，而第二年为3.2次。对照组第一年平均就诊3.8次，第二年为4.1次。移民就诊最常见的原因是循环系统疾病，而对照组是呼吸系统疾病。在这两年中，与以色列老患者相比，移民中与高血压、心绞痛和心理问题相关的就诊次数存在显著统计学差异。因此，移民的大多数就诊发生在第一年，原因是循环系统疾病。随后就诊次数逐渐减少，这表明他们的医疗问题得到了成功管理，也许还适应了以色列老患者的行为模式。
