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Some difficulties in comparing morbidity between countries.

J Mesker, P Mesker

    The Journal of the Royal College of General Practitioners
    |February 1, 1979
    PubMed
    Summary
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    General practice morbidity records show significant differences between UK and Dutch teaching practices. Obesity, hypertension, and urinary tract infections were more common in the Netherlands, alongside differing prescription patterns.

    Area of Science:

    • General Practice and Primary Care
    • Comparative Morbidity Studies
    • International Healthcare Comparison

    Background:

    • General practices in Southampton (UK) and Nijmegen (Netherlands) were selected for a comparative morbidity study.
    • The study aimed to identify variations in patient conditions and physician prescribing habits between the two locations.

    Purpose of the Study:

    • To compare morbidity records between general practices in the UK and the Netherlands.
    • To investigate potential differences in the prevalence of common health conditions and physician prescribing behaviors.

    Main Methods:

    • A two-month period of morbidity record comparison was conducted.
    • Data from teaching practices in Southampton, UK, and Nijmegen, Netherlands, were analyzed.

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    Main Results:

    • Common conditions like emotional disorders, upper respiratory tract infections, and musculoskeletal disorders showed similar prevalence.
    • Obesity was five times more prevalent in Nijmegen, while hypertension and urinary tract infections were twice as prevalent compared to Southampton.
    • Dutch physicians demonstrated a higher propensity to prescribe oral contraception to women over 50 years old.

    Conclusions:

    • Significant differences in morbidity patterns, particularly for obesity, hypertension, and urinary tract infections, exist between the studied Dutch and UK general practices.
    • Physician attitudes towards patient care and prescribing practices, such as oral contraception use in older women, may differ notably between the two countries.
    • The study highlights potential variations in healthcare delivery and patient health profiles influenced by geographical and cultural factors.