RESEARCH PAPER
Analysis of the prevalence of diseases in the rural areas of Warmia and Mazury
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1
Department of Pathophysiology, School of Medicine, Collegium Medicum, University of Warmia and Mazury in Olsztyn, Poland
2
Department of Internal Diseases and Gastroenterology, MSWiA Hospital in Olsztyn, Poland
3
Regional Center of Blood Donation and Blood Treatment in Olsztyn, Poland
Submission date: 2019-06-14
Final revision date: 2019-09-24
Acceptance date: 2019-09-24
Online publication date: 2019-11-24
Corresponding author
Joanna Wojtkiewicz
Department of Pathophysiology, School of Medicine, Collegium Medicum, University of Warmia and Mazury in Olsztyn, Aleja Warszawska 30, 10-900 Olsztyn, Poland. Tel.: +48 89 5246133.
Pol. Ann. Med. 2019;26(2):134-138
KEYWORDS
TOPICS
ABSTRACT
Introduction:
General practitioners (GPs), are the foreground of all medicine. When a disease starts, most patients have their first contact with medicine in the GP’s offices. For this reason, it is likely that the illnesses diagnosed by GPs are consistent with the real number of illnesses occurring in the area of their region.
Aim:
To preset in this research we focused on the frequency of cases of disease where there was a problem with receiving prompt medical advice.
Material and methods:
We obtained data of 14 279 visits of 2774 patients from January 1 to December 31, 2017, containing an ICD-10 diagnosis, the statistical number of the patient and the patient’s age at the time of visit from the 3 GPs facilities belonging to one practice in a rural area near to Olsztyn.
Results and discussion:
Analysis has shown that the most popular cardiovascular system disease is essentially hypertension. We found out that hypertension was affecting even the youngest people – males from 20 to 30 years old. Under the age group of 40–50 years old, mainly men suffered from hypertension. The family doctor institution should be the basis of the Polish Health System. It is the place where all the patients’ basic needs should be met. This institution should be the first filter of patients, which refers patients to more highly-specialistic medical providers.
Conclusions:
The top 15 diagnoses in our study contains prescribing medication, which is the same in Australia.The difference between the two countries is the percentage of this problem – 24.1% in Polish GPs vs. 1.6% in Australian GPs.
FUNDING
None.
CONFLICT OF INTEREST
The authors declare no conflict of interest.
REFERENCES (13)
1.
Zespół do opracowania strategii rozwiązań systemowych w zakresie POZ. [Analysis of functioning of basic health care in Poland and suggestions of systemic solutions]. Warszawa: 2016;24 [in Polish].
2.
Drobnik J, Czaprowska I, Susło R, Trnka J, Jadach R, Kurpas D. Family medicine and family medicine practitioner’s office – Place and importance in medical care system. Fam Med Primary Care Rev. 2010;12(2):159–164 [in Polish].
3.
Kiringos DS, Boerma W, Van der Zee J, Groenewegen P. Europe’s strong primary care systems are linked to better population health but also to higher health spending. Health Aff. 2013;32(4):686–694.
https://doi.org/10.1377/hlthaf....
4.
Leeder S, Corbett S, Usherwood T. General practice registrar education beyond the practice: The public health role of general practitioners. Aust Fam Physician. 2016;45(5):266–269.
5.
Life expectancy in Poland [database online]. Warszawa, Poland: Statistics Poland.
https://stat.gov.pl/en/topics/.... Updated August 8, 2018. Accessed August 30, 2018.
6.
Kemicer-Chmielewska , Żółtak-Bączkowska , Rotter , Kotwas , Jasińska M. [The influence of chosen factors on frequency of visits at General Practitioners in Poland]. Fam Med Primary Care Rev. 2012;14(1):163–165 [in Polish].
7.
Pappelbon J, Lorek E, Borawska M, et al. Statistical Yearbook Warmińsko-Mazurskie Voivodship 2016. Olsztyn: Statistical Office in Olsztyn. 2016;110–111.
8.
Regulation of Minister of Health from March 8, 2012 regarding medical prescriptionsIA (Dz.U. 2016 poz.62 ze zm.) [in Polish].
9.
Cooke G, Valenti L, Glasziou P, Britt H. Common general practice presentations and publication frequency. Aust Fam Physician. 2013;42(1–2):65–68.
10.
Wilkins E, Wilson L, Wickramasinghe K, et al. European Cardiovascular Disease Statistics 2017. Brussels: European Heart Network. 2017;11–75.
11.
National Center for Health Statistics (US). Health, United States, 2013: With Special Feature on Prescription Drugs. Hyattsville, MD,USA: National Center for Health Statistics (US). 2014;107–109.
12.
Pavlic DR, Sever M, Klemenc-Ketiš Z, et al. Strength of primary care service delivery: a comparative study of European countries, Australia, New Zealand, and Canada. Prim Health Care Res Dev. 2018;19(3):277–287.
13.
Eurostat. Standardised death rates – diseases of the respiratory system, residents, 2014 (per 100 000 male female inhabitants).
https://ec.europa.eu/eurostat/.... Accessed October 21, 2018.