Disease composition and epidemiological characteristics of primary care visits in Pudong New Area, Shanghai: a longitudinal study, 2016–2018

作者：Xin Gong, Xiaoli Wang, Tianxing Shi, Jianwei Shi, Wenya Yu, Liang Zhou, Ning Chen, Jiaoling Huang, Zhaoxin Wang · 发表于：BMJ Open · 年份：2020 · DOI：10.1136/bmjopen-2020-040878 · 被引用次数：13 · 研究领域：Healthcare Systems and Reforms、Health Promotion and Cardiovascular Prevention、Primary Care and Health Outcomes

OBJECTIVES: This study aims to analyse the disease composition of primary care visits rather than specialist visits, the former of which had scarcely been studied. We adopted specific disease classification (International Statistical Classification of Diseases and Related Health Problems, 10th Revision), disease system and communicable/non-communicable/injury disease classification, and variations of sex and age were also analysed. SETTING: We extracted data from all community health service centres (CHSCs) and community health service stations in Pudong, Shanghai, from 2016 to 2018 using the electronic health record systems of the Pudong health information centre. PARTICIPANTS: Our data included all 46 720 972 primary care visits from 2016 to 2018 in CHSCs in Pudong. RESULTS: We found that the top five diseases in primary care visits continued to be primary hypertension, problems related to medical facilities, chronic ischaemic heart disease, unspecified diabetes mellitus and acute upper respiratory infection. Lipoprotein metabolism disorder visits continued to increase over the study years. The numbers and proportions of patients with hypertension and unspecified diabetes were higher among men than women, and other cerebrovascular diseases were higher among women than men. The top five disease systems were circulatory system diseases, respiratory system diseases, endocrine/nutritional/metabolic diseases, factors influencing health status and digestive system diseases. The r...