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首页> 外文期刊>Family practice. >Change in frequency of patient requests for diagnostic screening and interventions during primary care encounters from 1985 to 2014
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Change in frequency of patient requests for diagnostic screening and interventions during primary care encounters from 1985 to 2014

机译：1985年至2014年初级保健期间诊断筛查和干预措施频率的变化

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Background. The reason why patients contact a care provider, the reason for encounter (RFE), reflects patients' personal needs and expectations regarding medical care. RFEs can be symptoms or complaints, but can also be requests for diagnostic or therapeutic interventions. Objectives. Over the past 30 years, we aim to analyse the frequency with which patients consult a GP to request an intervention, and to analyse the impact of these requests on the subsequent diagnostic process.Methods. We included all patients with a request for diagnostics, medication prescription or referral from 1985 to 2014. We analysed the number of requests, granted requests and interventions originating from a request. We compared the final diagnosis (symptom or disease diagnosis) between patients with and without a request.Design and Setting. This is a retrospective cohort study with data from Family Medicine Network, a Dutch primary healthcare registration network.Results. Overtime, patients more often present to their GP with a request for intervention. GPs are increasingly compliant with these requests. Patients presenting with a request for intervention are more likely to be diagnosed with a symptom rather than a disease. Conclusion. This study provides insight into the changes in patients' and GPs' behaviour and patients' influence on the medical process, and confirms the clinical relevance of the RFE. This study could support GPs in daily practice when deciding whether or not to grant a request.
机译：背景。患者联系护理提供者的原因，遭遇（RFE）的原因，反映了患者的个人需求和对医疗保健的期望。 rfes可以是症状或投诉，但也可以是诊断或治疗干预的要求。目标。在过去的30年里，我们的目标是分析患者咨询GP申请干预的频率，并分析这些请求对随后的诊断过程的影响。我们将所有患者从1985年到2014年从1985年到2014年开始诊断，药物处方或转介请求。我们分析了源自请求的请求，授予请求和干预措施的次数。我们比较了患者与没有请求的患者之间的最终诊断（症状或疾病诊断）.Design和环境。这是一种回顾性队列与来自家庭医学网络，荷兰初级医疗登记网络的数据进行研究。结果。加班，患者更常用于他们的GP，并要求干预。 GPS越来越符合这些请求。患者患有干预请求的患者更有可能被诊断出症状而不是疾病。结论。本研究介绍了对患者和GPS行为的变化和患者对医疗过程影响的洞察力，并证实了RFE的临床相关性。该研究可以在决定是否授予请求时支持日常练习中的GPS。

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