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[基层医疗儿科诊所夜间时段的评估]

[The evaluation of evening hours in a primary care pediatrics office].

作者信息

Gorrotxategi Gorrotxategi P, Lazkanotegi González M V, Goikoetxea Arandia P, Rubio Arribas V

机构信息

Centro de Salud Hermanos Iturrino, Irún.

出版信息

Aten Primaria. 1997 May 15;19(8):423-5.

PMID:9254154
Abstract

OBJECTIVE

To know about the preference for the evening hours in the primary care pediatric consults.

DESIGN

A crossover, observational and prospective study.

SETTING

Pediatric consult at a health center in the town of Irún, Bidasoa District (Guipúzcoa).

PARTICIPANTS

The mothers or companions (171) of the coming children.

MEASUREMENTS AND MAIN RESULTS

It was asked to the mothers coming to the consult about their preferences for the hour. The children were divided into three groups: younger than 3 years, 3 to 5 and older than 5. Then, it was taken into account the demand of each group. Projecting the results of the poll on the demand, the children older than 3 prefer the evening hour and between the younger (who represent nearly the half of the pediatric consults), the 50% prefer the morning, and the other half, the evening. There are not significant differences comparing the children from 3 to 5 years to the older than 5. There are significant differences, instead, between the children younger than 3 and any of the two groups of children older than 3: with the group from 3 to 5 (p < 0,01), with the older than 5 (p < 0,05) and with the older than 3 as whole (p < 0,01).

CONCLUSIONS

If it would be wanted to adapt the hour to their preferences, it would be necessary to making enable the morning hour for the children younger than 3, and the evening consults for the older.

摘要

目的

了解初级保健儿科门诊中对傍晚时段的偏好情况。

设计

一项交叉、观察性和前瞻性研究。

地点

位于比达索亚地区(吉普斯夸省)伊伦镇一家健康中心的儿科门诊。

参与者

前来就诊儿童的母亲或陪同人员(171名)。

测量指标及主要结果

询问前来门诊的母亲们对就诊时间的偏好。将儿童分为三组:3岁以下、3至5岁以及5岁以上。然后,考虑每组的需求情况。将民意调查结果投射到需求上,3岁以上儿童更喜欢傍晚时段,而在年龄较小的儿童(几乎占儿科门诊量的一半)中,50% 更喜欢上午,另一半更喜欢傍晚。3至5岁儿童与5岁以上儿童相比无显著差异。然而,3岁以下儿童与3岁以上的两组儿童中的任何一组相比存在显著差异:与3至5岁组相比(p < 0.01),与5岁以上组相比(p < 0.05),与3岁以上儿童整体相比(p < 0.01)。

结论

如果想要根据他们的偏好来调整就诊时间,有必要为3岁以下儿童安排上午时段的就诊,为年龄较大的儿童安排傍晚时段的门诊。

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