Marcel Slockers

50 Chapter 3 alcohol addiction. Diabetes (6.5%) and COPD (5.4%) were other notable demands for care. Hepatitis C (2.4%), tuberculosis (2.6%) and HIV (1.8%) were significant infectious diseases. Table 2. Conditions for which homeless people in Rotterdam go to the street doctor. Number and proportion of patients visiting consultation hours at least once with a particular health problem, according to ICPC main category, 2014-2017. ICPC main category number of patients; n (%) Street Doctor (n = 251) General Practitioner (n = 3572) psychiatric disorder 874 (42,6) 799 (24,4) cardiovascular diseases 304 (14,8) 769 (23,5) endocrinal disorders 241 (11,8) 844 (25,8) respiratory disorders 199 (9,7) 1253 (38,3) gastrointestinal disorders 197 (9,6) 713 (21,8) infectious diseases 152 (7,4) 456 (13,9) musculoskeletal disorders 125 (6,1) 548 (16,7) traumata 144 (5,6) 107 (3,2) neurological disorders 96 (4,7) 418 (12,8) oncological disorders 62 (3,0) 249 (7,6) ICPC = International Classification of Primary Care. Comparison to a regular GP practice For most of the ICPC categories, the proportion of patients who visited the consultation hours at least once with a particular health problem is larger in a regular GP practice than at the street doctor’s consultation hours (table 2). The exception, however, is psychological conditions and traumata, for which the proportions are much higher than in a regular GP practice. Changes over time At the street doctor’s consultation hours, there has been an increase in the proportion of homeless women from 15.1% to 21.2%, as well as in patients aged 60 and older, from 12.2% to 14.0%. Since 2006, the proportion of patients with a registered psychiatric problem has remained persistently high (about 43.0% in all periods), but there seems to be a shift between the specific ICPC diagnoses (figure 1 = psychiatry bar chart). The proportion of