Samanburður skráninga samskipta á fimm heilsugæslustöðvum

Þorsteinn Njálsson

Research output: Contribution to journalArticlepeer-review

Abstract

In this article a comparison is made of the contacts of the population in five health districts with the respective health centers (1-5). The article is based on two previous articles from the Icelandic Medical Journal (Health Districts of Hvammstangi 1965-1967 (3) and Hólmavík 1985-1986 (1)), a report from Bolungarvik Health District for the year 1983 (4), a report on the Egilsstaðir-medical record (Egilsstaðir Health District) (2) and computer data from the Health District Búðardalur 1985 (5). The comparison of these health districts shows that the number of contacts with each health center equals on the average five to six contacts/individual per year and 85-90% of the population contacts the health center each year. Reasons for contacting were iatrotropic symptoms (32-49%), followup (15-20%), prescriptions (14-25%), preventive practice (7-14%), accidents (2-3%) and all other reasons (10-13%). The most common diagnostic categories are shown in table II, diagnoses from the cardiovascular and respiratory system being the most common. Prescriptions are the most common solution for each contact in all health centers, equalling 47-50% of all contacts made and 1.2-1.4 prescriptions on the average each time. Other solutions were expectancy, instruction, advice and therapeutic interview (20-36% of all contacts), all investigations (12-25% of all contacts), preventive practice (7-23% of all contacts), letter, form, referral and hospitalization (6-11% of all contacts) and minor surgery and/or local anaestesia (5-14% of all contacts). Other studies (6-10) in the Icelandic literature do not have the comparability of those five health centers, but in some aspects show the same general trend. The Egilsstaðir-medical record is computerized which gives the opportunity to collect enormous data on general health and communication of the population with the Health Centers in various locations. At four health centers (1, 2, 4, 5) out of five in this article the data is collected according to the Egilsstaðir-medical record. To be able to develop the Egilsstaðir-medical record further and use it in every day practice more feedback is necessary from the many places that already have started to use it. The use of one type of medical record for Iceland could make the collected data compatible and would create enormous opportunity for scientific work.
í nýlegri grein (1) var sagt frá uppsetningu svokallaðs Egilsstaðakerfis (2) við skráningu samskipta og sjúkraskýrslugerð á heilsugæslustöð á Hólmavík. Skoðað var mynstur samskipta, tilefna, greininga og úrlausna á tólf mánaða tímabili. í þessari grein er reynt að bera þessar upplýsingar saman við annan íslenskan efnivið, eftir því sem tök eru á.
Original languageIcelandic
JournalLæknablaðið
Publication statusPublished - 15 Oct 1988

Other keywords

  • Upplýsingar
  • Skráning gagna
  • Heilsugæslustöðvar

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