关键词: 全科医学, 门诊医疗, 老年人

Abstract: Objective　To explore the characteristics of elderly outpatients seeking primary care in the general hospital.Methods　Data （including sex，age，consultation time，diagnosis，type of disease，and concomitant diseases） were collected from the electronic medical record system of The First Affiliated Hospital，Zhejiang University，involving 1 174 eligible elderly patients seeking primary care between February 2016 and February 2017.Results　Among the elderly outpatients，73.3%（860/1 174） were diagnosed with two or more types of disease.The three diseases owning the highest prevalence were hypertension〔28.1%（330/1 174）〕，diabetes〔14.0% （164/1 174）〕 and chronic gastritis〔11.2% （132/1 174）〕．The multimorbidity diseases owning the highest prevalence were hypertension+ diabetes+chronic nephropathy〔2.4%（15/613）〕，hypertension+hyperlipidemia+osteoporosis〔2.3% （14/613）〕，hypertension+ hyperlipidemia+benign prostatic hyperplasia〔2.1% （13/613）〕．The prevalence of hypertension，diabetes，chronic gastritis and sleep disorder varied significantly by age and diagnosis（P<0.05），but not by sex and quarter（P>0.05）.The prevalence of hyperlipidemia differed obviously by sex, age and diagnosis（P<0.05），but not by quarter（P>0.05）.Conclusion　The prevalence of multimorbidity was high in elderly patients seeking primary care in the general hospital.Moreover，hypertension，diabetes and chronic gastritis were found to have the highest prevalence.

Key words: General practice, Ambulatory care, Aged