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Journal of the Korean Academy of Family Medicine 1991;12(12):63-69.
Published online December 1, 1991.
Analysis of medical care content in a family physician clinic.
Jong Seung Jung, Kyung Mi Park, Han Na Choi, Seung Uk Yun
한 가정의학과 개원의의 진료내용 분석
정종승, 박경미, 최한나, 윤승욱
의료법인 중앙길병원 가정의학과
Five family medicine residents reviewed charts which were practiced by a family physician from September 1989 to August 1990.
After classifying the collected data in reference to ICPC coding system, following results were obtained.
1. The total number of patients were 3,485 and 1,596 were male, 1,889 were female.
2. The age distribution of patients was 0 through 96 years old. The largest was the 0 to 9 year old goup by 34.8%, the smallest was above 90 year old group by 0.1%, the pediatric group consisted of 44.2% and geriatric group consisted of 3.3%.
3. The total number of Reason For Encounter(RFE) was 4668, the average RFE per patients was 1.4 per patients and the kind of RFEs was 265. Among them cough, fever, generalized abdominal pain, symptoms/complains of throat and U.R.I ranked most common.
4. The total number of diagnoses was 4141, the average number of diagnoses was 1.2 per patient. Among them U.R.I., acute bronchitis/bronchiolitis, disod. stomach function, other resumed infection and irritable bowel symdrome ranked most common.
5. According to division of diagnosis by chapter, respiratory(44.4%), digestive(26.9%), general(5.8%) and musculoskeletal(3.8%) were ranked.
6. The number of diagnostic tests per patient was 0.38. Among the top 10 include 91.5% and chest X-ray, Urinalysis, LFT, HBsAg/anti-HBs, CBC were 18.0%, 15.1%, 13.5%, 11.6%, 9.9% respectively.
7. 39 cases were referred to Internal medicine, General Surgery, Urology, Pediatrics 8, 7, 5, 4 respectively.


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