全科医学 第3讲 Illness in the Community.pptx

IllnessintheCommunity

（P29-36）

IllnessintheCommunityStudies(ofillnessinthecommunity)haverevealedthatphysiciansseeonlyasmallfractionofthehealthproblemsexperiencedbythepopulationatlarge.RetrospectivesurveysInterviewsurveysimplecorrelationsRegressionanalysisProspectivestudy

Prevalenceofillnessandutilizationofmedicalresources1,000atrisk

750reportingillnessorinjury250consultingaphysician

9admittedtoahospital5referredtoanotherphysician

1referredtoaUMC

Retrospectivesurveys90percentofadultsreportasymptomduringtheprevious(past,earlier?)twoweeks.Onlyoneineveryfourorfiveofthesehaveconsultedaphysicianinthatperiod.

Interviewsurvey86%ofadultsandchildrenreportedatleastonephysicalsymptom.Themostcommonsymptomswererespiratory,withtirednesssecondandhead-achesthirdinorderoffrequency.ThepredominanceofrespiratorysymptomswassimilartothatinsurveysinAus.andtheU.S.Respiratoryillnessisalsothemostcommondiagnosis.51%adultshadmentalsymptoms(e.g.obsessionalthoughts,paranoidideas).24%ofthechildrenreportedtohavebehavioralproblems(e.g.,enuresis,disciplineproblems).aquarteroftheadultshadatleastonesocialproblem.

社区卫生服务中心就诊者的疾病谱

（1001班2013年赴四川成都暑期社会实践数据）居民病种人数%感冒咳嗽等呼吸道疾病6820.4三高6419.2保健体检4714.1运动系统疾病339.9心脑血管疾病329.6妇科疾病）164.8肠胃不适144.2口腔疾病113.3

AnalysisofsimplecorrelationsAhighprevalenceofsymptomswasassociatedwithincreasingage,femalesex,unemploymentduetoillness,maritalseparationordivorce,passiveasopposedtoactiverel