McIntosh I B, Reed J M, Power K G
Viewfield Medical Centre, Stirling.
Scott Med J. 1994 Apr;39(2):40-4. doi: 10.1177/003693309403900203.
This retrospective study involved a 20% quota, age and sex stratified sample of people over 16 years of age, presenting to a group medical practice over a period of one year (N = 1568). A standardised, computer-scored, self-report questionnaire was administered. The response rate was 98.3%. 42% of respondents had travelled outwith the UK in the previous year. Of those, 42% had become ill whilst abroad. In 20.5% of cases the illness settled without treatment. However, 26% of the patients required consultation with a doctor whilst abroad and 48.4% of those becoming ill required further attention from the family doctor on return home. 5% of ill travellers were admitted to hospital abroad. 8% of all travellers did not have medical insurance cover. A large and significant population of travellers become ill whilst abroad, and travel-acquired illness has a large impact on general practice, with 1 in 5 travellers seeking GP consultation on return home. Improved practice-generated pre-travel health advice might decrease this burden on primary care.
这项回顾性研究纳入了16岁以上人群中按年龄和性别分层的20%配额样本，这些人在一年时间内前往一家团体医疗诊所就诊（N = 1568）。采用了标准化的、计算机评分的自我报告问卷。回复率为98.3%。42%的受访者在前一年曾前往英国境外旅行。其中，42%的人在国外患病。在20.5%的病例中，疾病未经治疗自行痊愈。然而，26%的患者在国外需要咨询医生，48.4%患病的人回国后需要家庭医生进一步关注。5%患病的旅行者在国外住院。8%的旅行者没有医疗保险。大量旅行者在国外患病，旅行获得性疾病对全科医疗有很大影响，五分之一的旅行者回国后寻求全科医生咨询。改善诊所提供的旅行前健康建议可能会减轻初级保健的负担。
