How are reasons for encounter associated with influenza-like illness and acute respiratory infection diagnoses and interventions? A cohort study in eight Italian general practice populations

被引:2
作者
Buono, Nicola [1 ]
Harris, Michael [2 ,3 ]
Farinaro, Carmine [1 ]
Petrazzuoli, Ferdinando [4 ]
Cavicchi, Angelo [1 ]
D'Addio, Filippo [1 ]
Scelsa, Amedeo [1 ]
Mirra, Baldassarre [1 ]
Napolitano, Enrico [1 ]
Soler, Jean K. [5 ]
机构
[1] ICPC Club Italia, Dept Gen Practice, Via Roosevelt 4, I-81100 Caserta, Italy
[2] Univ Bath, Dept Hlth Univ, Bath BA2 7AY, Avon, England
[3] Univ Bern, Inst Primary Hlth Care BIHAM, Bern, Switzerland
[4] Lund Univ, Clin Res Ctr, Ctr Primary Hlth Care Res Clin, Malmo, Sweden
[5] Mediterranean Inst Primary Care, Attard, Malta
关键词
Respiratory infections; Influenza; Primary care; Symptom assessment; COMPARATIVE FAMILY MEDICINE; TRANSITION PROJECT DATA; CARE; SYMPTOMS; NETHERLANDS; PREVALENCE; SERBIA; BURDEN; MALTA; RATES;
D O I
10.1186/s12875-021-01519-4
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Background Influenza-like illness (ILI) and Acute Respiratory Infections (ARI) are a considerable health problem in Europe. Most diagnoses are made by family physicians (FPs) and based on symptoms and clinical signs rather than on diagnostic testing. The International Classification of Primary Care (ICPC) advocates that FPs record patients' 'Reasons for Encounters' (RfEs) as they are presented to them. This study analyses the association of patients' RfEs with FPs' diagnoses of ILI and ARI diagnoses and FPs' management of those patients. Methods Cohort study of practice populations. Over a 4-month period during the winter season 2013-14, eight FPs recorded ILI and ARI patients' RfEs and how they were managed. FPs recorded details of their patients using the ICPC format, collecting data in an Episode of Care (EoC) structure. Results There were 688 patients diagnosed as having ILI; between them they presented with a total of 2,153 RfEs, most commonly fever (79.7%), cough (59.7%) and pain (33.0%). The 848 patients with ARI presented with a total of 1,647 RfEs, most commonly cough (50.4%), throat symptoms (25.9%) and fever (19.9%). For patients with ILI, 37.0% of actions were related to medication for respiratory symptoms; this figure was 38.4% for patients with ARI. FPs referred six patients to specialists or hospitals (0.39% of all patients diagnosed with ILI and ARI). Conclusions In this study of patients with ILI and ARI, less than half received a prescription from their FPs, and the illnesses were mainly managed in primary care, with few patients' needing referral. The ICPC classification allowed a standardised data collection system, providing documentary evidence of the management of those diseases.
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页数:11
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共 39 条
  • [1] Heterogeneous case definitions used for the surveillance of influenza in Europe
    J.F. Aguilera
    W.J. Paget
    A. Mosnier
    M.L. Heijnen
    H. Uphoff
    J. van der Velden
    T. Vega
    J.M. Watson
    [J]. European Journal of Epidemiology, 2003, 18 (8) : 751 - 754
  • [2] Clinical and laboratory predictors of influenza infection among individuals with influenza-like illness presenting to an urban Thai hospital over a five-year period
    Anderson, Kathryn B.
    Simasathien, Sriluck
    Watanaveeradej, Veerachai
    Weg, Alden L.
    Ellison, Damon W.
    Suwanpakdee, Detchvijitr
    Klungthong, Chonticha
    Phonpakobsin, Thipwipha
    Kerdpanich, Phirangkul
    Phiboonbanakit, Danabhand
    Gibbons, Robert V.
    Fernandez, Stefan
    Macareo, Louis R.
    Yoon, In-Kyu
    Jarman, Richard G.
    [J]. PLOS ONE, 2018, 13 (03):
  • [3] [Anonymous], 1987, ICPC INT CLASSIFICAT
  • [4] [Anonymous], 2005, INT CLASSIFICATION P, VRevised second
  • [5] Measuring morbidity: self-report or health care records?
    Barber, Julie
    Muller, Sara
    Whitehurst, Tracy
    Hay, Elaine
    [J]. FAMILY PRACTICE, 2010, 27 (01) : 25 - 30
  • [6] The denominator in general practice, a new approach from the Intego database
    Bartholomeeusen, S
    Kim, CY
    Mertens, R
    Faes, C
    Buntinx, F
    [J]. FAMILY PRACTICE, 2005, 22 (04) : 442 - 447
  • [7] BARTHOLOMEEUSEN S, 2004, DIS GEN PRACTICE FLA
  • [8] Bocquet J, 2010, AUST FAM PHYSICIAN, V39, P313
  • [9] Primary care physicians' ability to diagnose the most prevalent respiratory diseases
    de Sao Jose, B. P.
    Camargos, P. A. M.
    Bateman, E. D.
    Botelho, C. M. A.
    de Seixas Maciel, J. G. F.
    Mancuzo, E. V.
    de Amorim Correa, R.
    [J]. INTERNATIONAL JOURNAL OF TUBERCULOSIS AND LUNG DISEASE, 2016, 20 (10) : 1392 - 1398
  • [10] Del Manso M, INFLUNET SENTINEL SU