Predictors of patient-initiated reconsultation for lower respiratory tract infections in general practice

被引：15

作者：

Cals, Jochen W. L. ^{[1
]}

Hood, Kerenza

Aaftink, Nienke ^{[1
]}

Hopstaken, Rogier M. ^{[3
]}

Francis, Nick A.

Dinant, Geert-Jan ^{[1
]}

Butler, Christopher C. ^{[2
]}

机构：

[1] Maastricht Univ, Dept Gen Practice, Med Ctr, Sch Publ Hlth & Primary Care CAPHRI, NL-6200 MD Maastricht, Netherlands

[2] Cardiff Univ, Sch Med, Dept Publ Hlth & Primary Care, Cardiff, S Glam, Wales

[3] Fdn Primary Hlth Care Ctr Eindhoven, Eindhoven, Netherlands

来源：

BRITISH JOURNAL OF GENERAL PRACTICE | 2009年 / 59卷 / 567期

关键词：

communication; family practice; respiratory tract infections; C-REACTIVE PROTEIN; RANDOMIZED CONTROLLED-TRIAL; PRIMARY-CARE; ACUTE COUGH; ANTIBIOTICS; EXPECTATIONS; MANAGEMENT; ILLNESS; POINT;

D O I：

10.3399/bjgp09X472656

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Reconsultation for lower respiratory tract infection (LRTI) is common in general practice, but those who reconsult rarely have more significant illness warranting antibiotics. Knowledge of factors that predict patient-initiated reconsultation may allow clinicians to address specific issues during the initial consultation that could reduce reconsultations. Thirty-three per cent of a cohort of 431 LRTI patients in a randomised controlled trial reconsulted. Excluding 35 patients with GP-requested reconsultation left 28% (112/396) with a patient-initiated reconsultation during 28-day follow-up. Patient-reported dyspnoea and concerns that persisted after the initial consultation independently predicted patient-initiated reconsultation.

引用

页码：761 / 764

页数：4

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