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Journal of the Korean Academy of Family Medicine 1987;8(4):1-13.
Published online April 1, 1987.
수도권지역 개원의의 진료내용 분석
이영진 윤방부
연세대학교의과대학 가정의학과 교실
Abstract
This is a fundamental study concerning the clinical contents in primary care facilities in Korea.
It explains the role of the general practitioners, what characteristics the patient might have, the types of disease and their frequencies, the kinds of diagnostic tools used and their frequencies, and the different medical management among physicians using the data of patients seen by all the members of Academy of family physicians during the 3 days in family practice setting situated in the capital city.
The data collected was analyzed by descriptive statistical method and X² test by cross tabulations.
Followings are the result of the study:
1. The average age of family doctors was 53.9 years. The average years of general practice was 18.4 years of which 89.4% did not receive regular training in residency.
2. Male physicians continued to work in clinics until they were 79 years of age whereas the oldest of working female doctor was 58 years of age.
3. The highest number of visitors was shown in age between 0-9. Male patients was more dominant ages under 20, however ages over 20, female patients outnumbered male patients.
4. The average number of male and female patients per male doctor was 47.7 and 51.5 respectively, and that of female doctor was 21.2 and 44.3 respectively, illustrating that female patients were seen more by female doctors than their counterparts.
5. According to doctor's age divided into age groups 30-39, 40-49, 50-59 and 60-69 years of age, the percentile of patients who were 30 years old or younger were 80.6%, 70.8%, 63.0%, 57.5% respectively and those of patients who were 60 years ad older were 1.4%, 5.1%, 6.2%, 7.5% repectively. As doctor's age increased, the percentile of patients who were 30 years old increased.
6. Of 14,254 patients seen by family doctors, 274 kinds of diseases were diagnosed. The percentile of diseases from the most frequent to the 20th frequent disease diagnosed accounted for 66.9% of the total. Diagnosis varied from some of the common diseases one can face in clinical practice to the ones which required complex therapy. There was difference in the distribution of diagnosis in this study as compared to situations made in medical school training hospitals in Korea and in foreign countries.
7. Among the chief complaints made by patients numbering 208 in number, the cummulative percentile from the most common to the 10th accounted for 77.6%.
8. The average number of laboratory tests done per patient was 0.14 of which the top 10 most commonly performed tests comprised 87.6% of the total. Gram stain and microscopic exam ranked first comprising 25.1% of the total of followed by urinalysis with 22.0% and chest X-ray with 12.0%.
9. Of the number of tests performed per 100 patients with urologic, respiratory, and gastrointestinal problems, more exams were done on patients with urologic problems numbering 65.6 to that of 2.1 for respiratory problems and 2.6 for patients of gastrointestinal problems.
As a result, general practioners in Capital city treat various kinds of disorder from the most common to the ones requiring complex therapy. The distribution of patient's age and sex were each influenced by doctor's age and sex and the frequency of laboratory tests performed was influenced by the types of disorders.
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