Korten A E, Jacomb P A, Jiao Z, Christensen H, Jorm A F, Henderson A S, Rodgers B
NHMRC Psychiatric Epidemiology Research Centre, Australian Capital Territory.
Aust N Z J Public Health. 1998 Aug;22(5):609-15. doi: 10.1111/j.1467-842x.1998.tb01447.x.
As part of a study of an elderly community-dwelling Australian population, predictors of general practitioner (GP) service use were identified. The sample of 897 persons, aged 70 years or older and living in Canberra and Queanbeyan, were interviewed about their health and well-being. Data on the number of GP visits in the following 12-month period were obtained from the Health Insurance Commission. There were important gender differences in the prediction of both contact and volume of service use. Need variables (physical health in men, and disability and anxiety in women) were the most important predictors. Men who were older or who had lower occupational status used more medical services, as did women with less education or higher levels of extraversion. Men with lower social support were less likely to contact a GP, but social support was not related to volume of service use for either men or women. Since at most 21% of the variance in the volume of GP service use could be explained, despite the wide range of predictors considered and the different statistical approaches adopted, better measures of service use and predictors need to be developed.
作为一项针对澳大利亚老年社区居民的研究的一部分，确定了全科医生（GP）服务使用的预测因素。对897名年龄在70岁及以上、居住在堪培拉和昆比恩的人进行了抽样调查，询问了他们的健康状况。随后12个月内全科医生就诊次数的数据来自健康保险委员会。在预测服务使用的接触情况和使用量方面存在重要的性别差异。需求变量（男性的身体健康，女性的残疾和焦虑）是最重要的预测因素。年龄较大或职业地位较低的男性使用更多医疗服务，教育程度较低或外向性较高的女性也是如此。社会支持较低的男性联系全科医生的可能性较小，但社会支持与男性或女性的服务使用量均无关。尽管考虑了广泛的预测因素并采用了不同的统计方法，但全科医生服务使用量的差异最多只能解释21%，因此需要开发更好的服务使用衡量指标和预测因素。
