This study was done to assess the clinical aspect of medical disputes in a community practices. There were 178 cases with medical dispute in the study. The number of female cases were over 1.6 times greater than that of male cases. The responses of the guardians in dead cases had been appeared to be more unlawful than the cases of live patients. The main results were as follows ; 1) The medical disputes are more prevalent in 4th and 5th decades of age in male and 4th decade in female. 2) The dispute incidence rate in OBGy clinic is the highest of all department(0.44case/5yr), and neurosurgery, the second, and or thopedic surgery, the third in orders. 3) The dispute is occured more requently at the stage of treatment, especially during surgery. Explanation of doctors to their patients, the programs of well-formed medical education to doctors and the state-controlled support were recommended to prevent doctors from medical dispute.
The management of hypertension is still far from optimal, although safe and effective drugs are available and the effectiveness of antihypertensive therapy in reducing cardiovascular morbidity is well estabilished. Today, low patient compliance is one of the most important therapy-limiting factors in hypertension. Although patient care seems to have improved, possbly due to increased knowledge about patient compliance in recent years. The 61 hypertensive patients were examined to explore the relationship between Health Beief Model(HBm) and compliance in hypertensive patients using questionnarie items based on HBM and compliance for hypertension. The result from HBM questionnaires were scored according to each patient's assessment. Each patient's compliance was measured by doctor's assessment, chart review, and patient self-reported questionnaires. This study showed that the high compliance were more serious and susceptible for cerebrovascular accidents than low compliance patients. The compliance was not associated with the severity and susceptibility for renal failure and myocardial infarction as compliance of hypertension, and not associated with benefits, barrier, and cue to action for treatment, and not associated with patient's demographic characteristics.
This article is designed for test the availability of the SRRS and family APGAR in order to know the prevalence and family function in screening the stresses and family functioning that induce the family's health change. We visited the famillies registrated in the department of the Family Medicine of the Uegung bu St. Mary's Hospital to obtain the SRRS and family APGAR, and reviewed their chart to get the numbers of the office visit. From this, following results were obtained : 1. In the group which the SRRS in higher than 150LCU, their CMI counts are sgnificsantly higher than that of the group which the SRRS is lower than 150LCU. 2. In the group which the family APGAR score is less than 6, their CMI counts are insignificantly higher than that of the group which the family APGAR score is higher than 7. 3. The SRRS and the family APGAR do not affect the numbers of the office visit of the registrated families.
In order to know the prevalence and family function in family practice clinics, 247 OPD patients are studied using Zung's self-rating depression scale and Olson DH's Faces Ⅲ. The result of this study were. 1. The prevalence of depression in family practice clinics were 60.3%(mild depression ; 30.4%, moderate depression ; 15.4%, severe depression ; 14.6%) 2. The family pattern of patients in family practice clinics were balanced family ; 33.2%, intermediate family ; 40.5%, extreme family ; 26.3% 3. As the degree of depression is increase, the degree of adaptability scale and cohesion scale is decreased. The cohesion is more closely correlate with depression than adaptability did.
To prepare for a diabetic clinic a rural type tamily clinic we made a follow up study about positive gly cosuria patients. Result of analysis about 72 glycosuria patients detected during the period from July 1987 to June 1989 At family practice clinic of Kosan Branch Hospital, Presbyterian Medical center chonju, Korea as follows 1. Among the 1080 examinees (male 442 female 639) 72(6.6%) was found positive glycosuria. 2. Out of 72 cases positive glycosuria 49 diabetic patient were detected. 3. By degree of glylosuria tne incidence of diabetes as follows among the 4+ glycosuria patient (21) diabetes mellitus were 20(95.2%) among the 3+ glycosuria patient (21) diabetes mellitus were 16(80.0%) among the 2+ glciosuria patient (16) diabetes mellitus were 8(50.0%) among the 1+ glylosuria patient (14) diabetes mellituswere 5(35.7%). 4. The final diagnosis of nondiabetes who have positive glycosuria were classified by system base as the following, Urinary Tract disease(9.7%) Gastrointestinal disease(8.3%) Respiratory disease(4.2%) Circulatory system disease(2.8%) others(15.5%) 5. The common symptom of diabetes mellitus were thirst(40.8%) fatigue(16.3%) visual disturbance(16.3%) 6. The associate complication of diabetes mellitus were Hypertension(34.7%), Infection(22.4%) Retinopathy(14.3%)