Primary care morbidity in Eastern Cape province
Primary care morbidity in Eastern Cape province
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DOI：
10.7196/samj.3427
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发表时间：
2010-05-01
期刊：
影响因子：
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通讯作者：
Nazareth, Irwin
中科院分区：
文献类型：
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作者：
Brueton, Valerie;Yogeswaran, Parimalarani;Nazareth, Irwin
背景南非农村的初级保健主要由偏远的诊所和保健中心提供。1994年，对保健中心进行了升级，并发展了新的保健中心，作为社区诊所和地区医院之间的保健过滤器。描述一个新的健康中心在高度经济贫困的地区遇到的临床问题的频谱，并将其与邻近的社区诊所和地区医院进行比较。横断面调查。设置。南非东开普省的一个乡村诊所、卫生中心和地区医院。采用国际初级保健分类-2（ICPC-2）对13周内从社区诊所、卫生中心和地区医院就诊的患者收集的数据进行编码。在所有三个地点共记录了4383例患者。在诊所（97%）和保健中心（80%）的大多数接触者是护士。15岁以上的女性占卫生设施所有接触者的一半以上（53%）。最常见的诊断类别是呼吸系统（23%）。咳嗽是最常见的症状。30%的5岁以下儿童接受了免疫接种。大多数儿童免疫接种（79%）是在卫生中心进行的。在所调查的所有保健设施中，保健中心的病人吞吐量最高，这表明保健中心是社区和医院之间的有效过滤器。ICPC-2可以成功地用于监测类似的非洲卫生保健设施的遭遇。
Background. Primary health care in rural South Africa is predominantly provided by remote clinics and health centres. In 1994, health centres were upgraded and new health centres developed to serve as a health care filter between community clinics and district hospitals.Aim. To describe the spectrum of clinical problems encountered at a new health centre in an area of high economic deprivation and compare this with an adjacent community clinic and district hospital.Design. Cross-sectional survey.Setting. A rural clinic, health centre and district hospital in Eastern Cape Province, South Africa.Methods. The International Classification of Primary Care-2 (ICPC-2) was used to code data collected over a 13-week period from patients presenting at a community clinic, health centre and district hospital.Results. Altogether, 4 383 patient encounters were recorded across all three sites. Most contacts at the clinic (97%) and the health centre (80%) were with a nurse. Females over 15 years of age comprised over half of all contacts at health facilities (53%). The most common diagnosis category was respiratory (23%). Cough was the most common symptom. Thirty per cent of children up to 5 years of age were seen for immunisations. Most childhood immunisations (79%) were carried out at the health centre.Conclusion. Of all the health care facilities surveyed, the health centre had the highest throughput of patients, indicating that the health centre is an efficient filter between the community and hospital. The ICPC-2 can be successfully used to monitor encounters at similar African health care facilities.