期刊
SCANDINAVIAN JOURNAL OF PRIMARY HEALTH CARE
卷 22, 期 3, 页码 174-179出版社
TAYLOR & FRANCIS AS
DOI: 10.1080/02813430410006567
关键词
ACG (Adjusted Clinical Groups); comorbidity; patient classification; primary care; type of morbidity
Objective - To elucidate types of morbidity and categories of patients in a large population. Design - A one-year retrospective study of encounter data from electronic patient record databases in primary health care, with application of the Johns Hopkins Adjusted Clinical Groups System. Setting - Blekinge County Council, southeastern Sweden, with 149 552 inhabitants. Subjects - All patients with a diagnosis-registered encounter with a GP in 2002 at 13 publicly managed PHC centres. Main outcome measures - Anonymous identification number, age, gender, type of morbidity (Aggregated Diagnostic Groups), and category of patient (Adjusted Clinical Groups). Results - About 45% of the county's inhabitants had at least one diagnosis-registered encounter with a GP during the year. The most common types of morbidity were time limited'' (24.0% of all types), likely to recur'' (19.6%), and signs/symptoms'' (19.0%). About 33.3% of all patients had one and only one time-limited condition, about 16.8% had one and only one recurring condition, and about 12.1% of the patients had only a chronic condition. Conclusion - Types of morbidity in primary health care are dominated by nearly equal proportions of time limited'', likely to recur'', chronic'', and signs/symptoms''. The predominant categories of patients are those with only one type of morbidity, while about one-third of the patients had a constellation of two or more types of morbidity during a one-year period.
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