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Journal of the Korean Academy of Family Medicine 1992;13(4):327-334.
Published online April 1, 1992.
The analysis of clinical contents in primary care in university-based family practice clinics.
Yong Sung Suh, Eun Joo Ahn, Hee Chul Kang, Chul Young Bae, Dong Hak Shin
ICPC 분류법에 의한 가정의학과 외래 진료 내용 분석
서영성, 안은주, 강희철, 배철영, 신동학
계명대학교 의과대학 가정의학교실
Abstract
Background
: The clinical content of family medicine, still an evolutionary process is very important in education and research in family practice. We carried out this study to analyze the clinical contents of primary care at Keimyung University Family Medicine Clinic.

Methods : In order to assess the contents of primary health care, we collected data from University-Based family practice clinics by chart review from June 1990 to July 1990. We used the ICPC coding system to classify the collected date.

Results : The total number of patients was 2981 of whom 1330 were male(44.6%) and 1651 were female(55.4%). The total number of reason for encounter(RFEs) was 4438. The average RFE per patient was 1.48. Among them cough, stomachache, rhinorrhea, for GI medication and headache ranked as most common. They could be classified to have 205 kinds of different diagnoses. The most common 20 diseases were 69.1% of the total. The disease systems were digestive system (30.9%), respiratory system(25.0%), neuromuscular system(16.5%) and circulatory system(7.2%) as per frequency. The diagnostic tests were 45 in number. The referral rate to other specialties was 9.0%, of which there were IM(25.4%), OB&GY(16.6%), OS(14.0%), Neurology(13.6%), GS(9.6%), Psychiatry(7.0%) and Urology(6.2%).

Conclusion : ICPC coding according to visiting purposes, demand for therapy, and health problems appeared to be very easy for primary care physicians to use.
초록
연구배경 : 질병의 파악과 적절한 교육과정의 개발은 가정의학의 계속된 연구과제이다. 따라서 이 연구에서 계명대학교 가정의학과에서 시행되는 일차의료의 임상적 내용을 분석해 보고자 한다.

방법 : 일차진료의 내용을 분석하기 위하여 1990년 5월부터 6월까지 임상기록지를 분석하여 자료를 수집하였으며 질병분류는 ICPC(International Classification of Primary Care)에 따랐다.

결과 : 전체 방문 환자의 수는 2981명 이었으며, 남자가 1330명(44.6%)이었으며 여자가 1651명(55.4%)이었다. 방문 이유는 총 4438개였으며 평균 1.48개였다. 기침, 위통, 콧물, 위장관계통의 약물 복용을 위해, 두통 등이 많았다. 증상들은 205종류 진단명으로 분류되었다. 상위 20개의 질환이 전체의 69.1%를 차지하였다. 빈도순으로 보면 소화기계(30.9%), 호흡기계(25.0%), 신경근육계(16.5%), 순환기계(7.2%) 순이었다. 진단검사는 환자당 0.45개였으며, 진단검사의 종류는 45개였다. 타과 전과율은 9.0%이었으며 내과(25.4%), 산부인과(16.6%), 신경과(13.6%), 일반외과(9.6%), 정신과(7.0%), 비뇨기과(6.2%) 이었다.

결론 : ICPC 분류법에 의해 방문목적을 분류해보면 치료와 건강문제 때문에 일차진료를 많이 찾게 되었다.


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