a morbidity survey of south african primary care南非的初级保健的发病率的调查.pdfVIP

A Morbidity Survey of South African Primary Care 1 2 2 2 2 Bob Mash *, Lara Fairall , Olubunmi Adejayan , Omozuanvbo Ikpefan , Jyoti Kumari , Shaheed 2 2 2 Mathee , Ronit Okun , Willy Yogolelo 1 Division of Family Medicine and Primary Care, Stellenbosch University, Cape Town, Western Cape, South Africa, 2 Knowledge Translation Unit, Lung Institute, University of Cape Town, Cape Town, Western Cape, South Africa Abstract Background: Recent studies have described the burden of disease in South Africa. However these studies do not tell us which of these conditions commonly present to primary care providers, how these conditions may present and how providers make sense of them in terms of their diagnoses. Clinical nurse practitioners are the main primary care providers and need to be better prepared for this role. This study aimed to determine the range and prevalence of reasons for encounter and diagnoses found among ambulatory patients attending public sector primary care facilities in South Africa. Methodology/Principal Findings: The study was a multi-centre prospective cross-sectional survey of consultations in primary care in four provinces of South Africa: Western Cape, Limpopo, Northern Cape and North West. Consultations were coded prior to analysis by using the International Classification of Primary Care-Version 2 in terms of reasons for encounter (REF) and diagnoses. Altogether 18856 consultations were included in the survey and generated 31451 reasons for encounter (RFE) and 24561 diagnoses. Women accounted for 12526 (66.6%) and men 6288 (33.4%). Nurses saw 16238 (86.1%) and doctors 2612