PDF(Pubmed)
Abstract：
This is a register-based study that examines the distribution of diagnoses made by general practitioners (GPs) in the public primary health care of the city of Vantaa, Finland. Data were gathered from the electronic health record (EHR) system and consisted of every record entered into the EHR system between 1 January 2016 and 31 December 2018. Both absolute numbers and relative proportions of the 10th edition of International Classification of Diseases (ICD-10) diagnosis recordings were reported and calculated. Among GP visits, the 88 most common diagnoses covered 75% of all diagnoses. The most common diagnoses were related to the musculoskeletal (3.8%, ICD code M54) and respiratory systems (6.0%, ICD-10 code J06). Primary health care GP services were mostly used by children (age <5 years) and older adults (>65 years). Health examinations - mostly children\'s and maternity clinics appointments/visits - covered 20% of the GP office visits. Women between the ages 15-79 years had relatively more GP visits compared to men. The 88 most commonly recorded diagnoses covered the majority of the GP visits. Health examinations for the healthy were an important part of GPs\' work. In an urban Finnish city, GP services were predominantly used by children and older adults.
摘要：
这是一项基于注册的研究，旨在研究全科医生（GP）在万塔市公共初级卫生保健中的诊断分布，芬兰。数据来自电子健康记录（EHR）系统，包括2016年1月1日至2018年12月31日期间输入EHR系统的每个记录。报告并计算了第10版国际疾病分类（ICD-10）诊断记录的绝对数和相对比例。在GP访问中，最常见的88例诊断涵盖了所有诊断的75%.最常见的诊断与肌肉骨骼有关（3.8％，ICD代码M54)和呼吸系统(6.0%，ICD-10代码J06)。初级卫生保健GP服务主要由儿童（<5岁）和老年人（>65岁）使用。健康检查-主要是儿童和妇产科诊所的预约/访问-涵盖了全科医生办公室访问的20％。与男性相比，年龄在15-79岁之间的女性的全科医生就诊次数相对较多。88例最常记录的诊断涵盖了大多数全科医生就诊。健康检查是全科医生工作的重要组成部分。在芬兰的一个城市，GP服务主要由儿童和老年人使用。
