北京城区某社区医院门诊患者频繁就诊的影响因素分析

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摘要目的利用logistic 回归分析的方法，分析频繁就诊患者的特点及影响因素。方法选取2020年1月至12月北京市朝阳区安贞社区卫生服务中心全科门诊就诊5221 例患者作为研究对象。采用就诊次数分组法将患者分为两组，频繁就诊组（511 例）为就诊次数>24 次/年，非频繁就诊组（4710 例）为≤24 次/年。比较两组可能影响因素，利用logistic 回归分析的方法分析频繁就诊的影响因素。结果单因素分析结果显示，频繁就诊组年龄、冠心病、高血压、2 型糖尿病、骨关节病、骨质疏松、脑血管疾病、高脂血症、慢性阻塞性肺疾病及慢病总数的比例高于非频繁就诊组，差异有统计学意义（P<0.05）。多因素logistic 回归分析结果提示，年龄（β=0.12，OR=1.22，95%CI=1.07～1.38）、冠心病（β=0.51，OR=1.66，95%CI=1.45～1.91）、骨关节病（β=0.55，OR=1.74，95%CI=1.20～2.52）、慢性阻塞性肺疾病（β=0.71，OR=2.04，95%CI=1.76～2.37）及慢病总数（β=0.78，OR=2.19，95%CI=1.89～2.54）是频繁就诊的危险因素（P<0.05）。结论年龄、冠心病、骨关节病、慢性阻塞性肺疾病及慢病总数是频繁就诊的危险因素。

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	鲁京慧
	张楠
	杜鹃

关键词 ：频繁就诊, 社区医院, Logistic 回归分析, 慢性病

Abstract：Objective To analyze the causes of frequent attenders by multivariate logistic regression analysis. Methods A total of 5221 patients were retrospectively selected as the research objects who attended the General Outpatient Clinic of Anzhen Community Health Service Center, Chaoyang District, Beijing, from January 2020 to December 2020. Patients were divided into two groups by number of attendances. Frequent attenders group was who attended> 24 times per year; Non-frequent attenders group who attended ≤24 times per year. Influencing factors were compared between two groups. To find risk factors of frequent attenders by multivariate logistic regression analysis. Results Age, coronary heart disease, hypertension, type 2 diabetes, osteoarthropathy, osteoporosis, cerebrovascular disease, hyperlipidemia,chronic obstructive pulmonary disease and total number of chronic diseases in frequent attenders group were higher than those in non-frequent attenders group by single factor analysis, the difference were statistically significant (P<0.05). The risk factors of frequent attended were elderly patients (β=0.12, OR=1.22, 95%CI=1.07-1.38), coronary heart disease (β=0.51, OR=1.66, 95%CI=1.45-1.91), osteoarthropathy (β=0.55, OR=1.74, 95%CI=1.20-2.52), chronic obstructive pulmonary disease (β=0.71, OR=2.04, 95%CI=1.76-2.37) and the total number of chronic diseases (β=0.78,OR=2.19, 95%CI=1.89-2.54) by multivariate logistic regression analysis （P<0.05）. Conclusion Elderly patients, coronary heart disease, osteoarthropathy, chronic obstructive pulmonary disease and the total number of chronic diseases were risk factors of frequent attended.

Key words： Frequent attender Community hospital Logistic regression analysis Chronic disease

引用本文:

鲁京慧；张楠；杜鹃. 北京城区某社区医院门诊患者频繁就诊的影响因素分析[J]. 中国当代医药, 2022, 29(9): 118-121.
LU Jinghui；ZHANG Nan；DU Juan. Analysis of influencing factors of frequent attenders of a community hospital in Beijing. 中国当代医药, 2022, 29(9): 118-121.

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https://www.dangdaiyiyao.com/CN/ 或 https://www.dangdaiyiyao.com/CN/Y2022/V29/I9/118

[5]	季燕，丁静，陈雪，等.月坛社区高血压患者频繁就诊现状及其影响因素分析[J].中国全科医学，2021，24（20）：2563-2567.
[6]	李娜娜，寿涓，李娅玲，等.上海市某社区卫生服务中心频繁就诊老年患者的疾病特征及持续频繁就诊相关因素分析[J].中华全科医师杂志，2019，18（3）：232-235.
[1]	KivelK，Elo S，Kriinen M.Frequent attenders in primary health care：A concept analysis[J].Int J Nurs Stud，2018，86：115-124.
[2]	荣健，戈艳红，孟娜娜，等.2010～2019年中国老年人抑郁症患病率的Meta 分析[J].中国循证医学杂志，2020，20（1）：26-31.
[4]	Shireen P，Kai J，Christopher A，et al.Clinical characteristics of persistent frequent attenders in primary care：case-control study[J].Fam Pract，2015：32：624-630.
[3]	Reho T，Atkins S，Talola N，et al.Comparing occasional and persistent frequent attenders in occupational health primary care-a longitudinal study[J].BMC Public Health，2018，18（1）：1291.
[7]	李安乐，赵根明，江峰，等.上海市嘉定区社区居民常见慢性病多病共患现状及其影响因素[J].中国公共卫生，2021，37（12）：1766-1769.
[8]	李烨.老年慢病患者合并老年综合征的危险因素分析[D].济南：山东大学，2018.
[9]	邱月虹，关青，王晶，等.深圳市社区老人轻度认知障碍的认知变化特点及影响因素[J].中国临床心理学杂志，2018，26（2）：313-317，321.
[10]	李素英，宋高峰.老年冠心病合并症分布及临床类型分析[J].中国实用医药，2014，9（27）：50-51.
[11]	Halcomb E，Smyth E，Ghosh A.Local trends in older people presenting at an emergency department[J].Collegian，2017，24（4）：381-385.
[12]	Santalahti AK，Vahlberg TJ，Luutonen SH，et al.Effect of administrative information on visit rate of frequent attenders in primary health care：Ten-year follow-up study[J].BMC Fam Pract，2018，19（1）：142.
[13]	Hajek A，Kretzler B，KHH.Determinants of Frequent Attendance in Primary Care.Study Protocol for a Systematic Review of Longitudinal Studies[J].Int J Environ Res Public Health，2020，17（10）：3710.
[14]	Reho TTM，Atkins SA，Talola N，et al.Frequent attenders in occupational health primary care：A cross-sectional study[J].Scand J Public Health，2019，47（1），28-36.
[15]	Strmbom Y，Karlsson J，Fredrikson M，et al.Cognitive behavioral therapy for frequent attenders in primary care[J].Health Sci Rep，2018，1（9）：e80.
[16]	Kang SC，Lin CC，Tsai CC，et al.Characteristics of Frequent Attenders Compared with Non-Frequent Attenders in Primary Care：Study of Remote Communities in Taiwan[J].Healthcare（Basel），2020，8（2）：96.
[17]	许穗，金龙伟，田军章，等.结算方式对高血压病人就医行为的影响[J].现代医院，2009，9（4）：2.
[18]	Paterson C，Taylor RS，Griffiths P，et al.Acupuncture for frequent attenders′ with medically unexplained symptom：a randomised controlled trial （CACTUS Study）[J].Br J Gen Pract，2011，61（587）：295-305.
[19]	Bellón JA，Rodríguez-Bayón A，de Dios Luna J，et al.Successful GP intervention with frequent attenders in primary care：randomised controlled trial[J].Br J Gen Pract，2008，58（550）：324-330.