Background : The Role of Family Medicine have been important scince the establishment of new health care delivery system, which came into effect on July, 1989. It is very important for family physician to manage hopitalized patients in the aspect of continuing care. And inpatient care is one of the main role of department of family medicine in general hospital. Therefore we analysed the hospitalized patients to help in establishing the orientation of in-patient care and the role of family medicine in general hospital.
Methods : We examined the medical records of the patients who had hospitalzed in department of family medicine of college of medicine, Kon-kuk university in Chungju from July, 1, 1989 to June, 30, 1993.
Results : A total of 453 patients were hospitalized during study periods. The sex ratio was 1.4:1. Mean age was 40.8 years old. The patient admitted via emergency room was 63.5% in the first year. But The last two years, the most patients was admitted via O.P.D. of Family Medicine. The most common symptoms with the patients complained at the time of admission was fever(17.0%), headache(7.5%), abdominal pain(5.7%). The common diagnosis at discharge was multiple contusion(9.5%), neurosis(6.6%), chronic hepatitis(6.4%). But the 98% patient of multiple contusion was in the first years. The most common diagnosis was acute gastroenteritis(13.0%) in the second year, chronic hepatitis(13.0%) in the third year, gastroduodenitis(18.5%) in the last year. The injury and intoxication was the most common disease in the first year, parasitic and infectious disease in the second year and digestive diseases in the last two years. Total 236 cases of special study was done and the common special study was abdominal ultrasonography(27.9%). The total 24 cases of operative procedure was done and all operative procedure was done in the first years. Total 179 cases were consulted. Total 23 patients were transferred to other departments.
Conclusion : The content of hospitalized patients in family Medicine was varied and it was changed by the characteristics and situation of the hospital to support the general function of hospital. The comprehensive practice and the unique field of family medinice was enforced to develop the role of family medicine in general hospital.