Jacomb P A, Jorm A F, Korten A E, Rodgers B, Henderson S, Christensen H
NHMRC Psychiatric Epidemiology Research Centre, Australian National University, Canberra, ACT.
Med J Aust. 1997 Feb 3;166(3):123-6. doi: 10.5694/j.1326-5377.1997.tb140040.x.
To examine GP service use by elderly people and, in particular, to compare those who had not consulted a GP in one year with those who were low attenders and those who were high attenders.
Medicare data on GP service use were matched to data collected by interview in 1990-1991 and reinterview in 1994 as part of a community study on health and well-being.
Canberra and Queanbeyan in the Australian Capital Territory.
People aged 70 years and over, living in the community.
The number of visits made to a GP in 12 months.
Medicare data were available for 624 of the 897 participants interviewed (70%). While the women non-attenders reported similar levels of physical illness and symptoms to the low attenders, men non-attenders reported significantly higher levels of illness (P < 0.01) than the low-attender group. The health of men who were non-attenders was very similar to men who were high attenders of GP services. Men who had not seen a GP in one year reported significantly more pain (P = 0.002) and less social support than both low attenders and high attenders (P = 0.012 and P = 0.049, respectively).
We identified a group of men who had not attended a GP in one year, despite significant levels of morbidity. Such a group may benefit from consultation with a GP and could be targeted in any attempt to improve elderly men's health.
研究老年人对全科医生服务的使用情况，特别是比较那些一年未咨询过全科医生的人与就诊次数少和就诊次数多的人。
作为一项关于健康与幸福的社区研究的一部分，1990 - 1991年通过访谈收集的数据以及1994年再次访谈收集的数据与医疗保险关于全科医生服务使用的数据相匹配。
澳大利亚首都直辖区的堪培拉和昆比恩。
居住在社区的70岁及以上人群。
12个月内拜访全科医生的次数。
897名接受访谈的参与者中有624人（70%）可获取医疗保险数据。虽然未就诊的女性报告的身体疾病和症状水平与就诊次数少的女性相似，但未就诊的男性报告的疾病水平显著高于就诊次数少的男性组（P < 0.01）。未就诊男性的健康状况与频繁就诊的男性非常相似。一年未看过全科医生的男性报告的疼痛明显更多（P = 0.002），且社会支持比就诊次数少和就诊次数多的男性都少（分别为P = 0.012和P = 0.049）。
我们识别出一组男性，尽管他们发病率较高，但一年未看过全科医生。这样的人群可能会从咨询全科医生中受益，并且在任何改善老年男性健康的尝试中都可以作为目标人群。
