García Lavandera L J, Alonso Fernández M, Salvadores Rubio J, Alonso Arias P S, Muñoz Baragaño P, Blanco Suárez A M
Centro de Salud de la Felguera, Asturias.
Aten Primaria. 1996 Nov 30;18(9):484-9.
To compare normal users (NU) and over-users (OU), examining social and demographic features, family characteristics, presence of psychological problems or family dysfunction and the existence of chronic pathologies.
An observational crossover study, lasting one year (1994).
Health centre.
Randomised sampling of 12,092 patients > 14 years old. OU (n = 260) was defined as someone who had a percentage point for attendance without an appointment at the Centre, excluding bureaucratic reasons, of above 75%; and NU (n = 260), in the 25 and 75% band. 65 individuals (240 OU and 225 NU) took part.
Average age of OU was higher than that of NU. 88 OU (36.7%) finished their education above primary level, whereas 115 NU (51.1%) did so (OR 1.81). 37.5% OU (90) belonged to small families, against 24.9% NU (56). 34.6% OU (83) were in an advanced family vital cycle, against 24% NU (54. 26.7% OU (64) and 17.8% NU (40) had psychological problems. There was family dysfunction in 32 OU (13.3%) and 23% NU (10.2%). 186 OU (77.5%) had some chronic pathology, against 96 NU, of whom 70.3% OU and 87.2% NU attended appointments arranged to monitor these pathologies.
Over-use of our health centre is related to being older, a low level of education, belonging to small families in an advanced vital cycle, having psychological problems, suffering chronic pathologies and not attending appointments when they are arranged.
比较正常使用者（NU）和过度使用者（OU），研究其社会人口学特征、家庭特征、心理问题或家庭功能障碍的存在情况以及慢性疾病的存在情况。
一项为期一年（1994年）的观察性交叉研究。
健康中心。
对12092名14岁以上患者进行随机抽样。OU（n = 260）定义为在该中心无预约就诊百分比（排除官僚原因）高于75%的人；NU（n = 260）为处于25%至75%区间的人。65人（240名OU和225名NU）参与研究。
OU的平均年龄高于NU。88名OU（36.7%）完成了小学以上教育，而115名NU（51.1%）完成了小学以上教育（比值比1.81）。37.5%的OU（90人）属于小家庭，而NU为24.9%（56人）。34.6%的OU（83人）处于家庭生命周期的后期，而NU为24%（54人）。26.7%的OU（64人）和17.8%的NU（40人）有心理问题。32名OU（13.3%）和23名NU（10.2%）存在家庭功能障碍。186名OU（77.5%）患有某种慢性疾病，而NU为96人，其中70.3%的OU和87.2%的NU参加了为监测这些疾病而安排的预约就诊。
本健康中心的过度使用与年龄较大、教育程度低、属于处于生命周期后期的小家庭、有心理问题、患有慢性疾病以及不参加安排好的预约就诊有关。
