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首页> 外文期刊>BMC Health Services Research >Contact characteristics and factors associated with the degree of urgency among older people in emergency primary health care: a cross-sectional study
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Contact characteristics and factors associated with the degree of urgency among older people in emergency primary health care: a cross-sectional study

机译：紧急初级保健中老年人紧急程度相关的接触特征和因素：横断面研究

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As the proportion of older people increases, so will the consumption of health services. The aim of this study was to describe the contact characteristics among older people and to identify factors associated with the degree of urgency at the Norwegian out-of-hours (OOH) emergency primary health care services. Inhabitants aged ≥70?years who contacted the OOH service during 2014–2017 in seven OOH districts in Norway were included. We investigated the variables sex, age, time of contact, mode of contact, ICPC-2 based reason for encounter (RFE), priority degree and initial response. We also performed frequency analyses, rate calculations and a log-binomial regression. A total of 38,293 contacts were registered. The contact rate/1000 inhabitants/year was three times higher in the oldest age group (≥90?years) compared to the youngest age group (70–74?years). Direct attendance accounted for 8.4% of the contacts and 32.8% were telephone contacts from health professionals. The most frequent RFE chapter used was “A General and unspecified” (21.0%) which also showed an increasing rate with higher age. 6.0% of the contacts resulted in a home visit from a doctor. Variables significantly associated with urgent priority degree were RFEs regarding cardiovascular (Relative risk (RR) 1.85; CI 1.74–1.96), neurological (RR 1.55; CI 1.36–1.77), respiratory (RR 1.40; CI 1.30–1.51) and digestive (RR 1.22; CI 1.10–1.34) issues. In addition, telephone calls from health professionals (RR 1.21; CI 1.12–1.31), direct attendance (RR 1.13; CI 1.04–1.22), contacts on weekdays (RR 1.13; CI 1.06–1.20) and contacts from men (RR 1.13; CI 1.09–1.17) were significantly associated with urgent priority degree. This study provides important information about the Norwegian older inhabitants’ contact with the OOH emergency primary health care services. There are a wide variety of RFEs, and the contact rate is high and increases with higher age. Telephone contact is most common. The OOH staff frequently identify older people as having “general and unspecified” reasons for encounters. OOH nursing staff would benefit from having screening tools and enhanced geriatric training to best support this vulnerable group when these individuals call the OOH service.
机译：随着老年人的比例增加，卫生服务的消费也会增加。本研究的目的是描述老年人之间的接触特征，并识别与挪威外出的紧急程度（OOH）紧急初级保健服务相关的因素。居民≥70岁以下的年龄段在挪威七个俄亥俄州地区联系欧洲ooh服务。我们调查了变量性别，年龄，联系时间，联系方式，ICPC-2遇到（RFE），优先程度和初始反应的原因。我们还执行了频率分析，速率计算和日志二项式回归。共登记了38,293名触点。与最年轻的年龄组（70-74岁）相比，最旧的年龄组（≥90岁）（≥90岁）（70-74岁），接触率/ 1000名居民/年度是三倍。直接出勤率占8.4％的联系人，32.8％是来自卫生专业人员的电话联系人。使用的最常见的RFE章节“一般”和“一般”和“未指定的”（21.0％）也表现出较高年龄较高的速度。 6.0％的联系人导致医生的家访。与紧急优先程度明显相关的变量是关于心血管血管的RFE（相对风险（RR）1.85; CI 1.74-1.96），神经系统（RR 1.55; CI 1.36-1.77），呼吸（RR 1.40; CI 1.30-1.51）和消化（RR 1.22; CI 1.10-1.34）问题。此外，来自健康专业人士的电话（RR 1.21; CI 1.12-1.31），直接出勤（RR 1.13; CI 1.04-1.22），平日联系人（RR 1.13; CI 1.06-1.20）和男性的联系人（RR 1.13; CI 1.09-1.17）与紧急优先级有关。本研究提供有关挪威旧居民与欧洲急救初级保健服务联系的重要信息。有多种RFE，接触率高，随着年龄较高的增加而增加。电话联系是最常见的。 OOH工作人员经常将老年人识别为“一般和未指明”的遭遇原因。欧州护理人员将受益于筛选工具和增强的老年培训，以便这些个人呼吁欧洲织造服务时最能支持这一弱势群体。

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