出版社：Norsk forening for epidemiologi - The Norwegian Epidemiological Association
摘要：Objectives: Methods: Results: Conclusions: Home visiting policy should be more selective. While most children could be adequatelytaken care of by telephone consultations or consultations in the surgery, home visits should be encouragedfor the chronically ill and the housebound.5.074 home visits were recorded (9.2% of all face-to-face contacts). Home visiting rates werehighest for the elderly and for children. Most home visits were for new diagnoses, and 28% took placeduring weekends. Infections in the respiratory tract comprised the majority of the diagnoses for visitingchildren, whereas coronary heart disease and heart failure were the most frequent diagnoses for visitingthe elderly. Drugs were prescribed during 48.9% of the home visits. General systemic antiinfectives andrespiratory drugs comprised 53% of all prescriptions, whereas CNS-drugs comprised another 20%. Doctors'characteristics associated with doing home visits were male gender, young age, GP specialisation,fixed salary, and rural location.A cross-sectional descriptive study in the Norwegian county of Møre & Romsdal. All encounters(90,458) and prescriptions (74,079) issued during two months were recorded.Although home health care has been the fastest growing segment of the health care systemduring the last decades, general practitioners' (GPs') home visiting rates have declined. The aim of thisstudy was to analyse home visits in relation to characteristics of both patients and GPs, the diagnoses,and the drugs prescribed.ABSTRACT
