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Journal of the Korean Academy of Family Medicine 1988;9(7):1-13.
Published online July 1, 1988.
오류시범진료소 내원환자의 가족기능장애와 의사방문율
이득주 최종태 이혜리 윤방부
연세대학교의과대학 가정의학교실
Abstract
The family function has long been stated to determine the health of each members in the family and the physicians effort understanding the family function in depths will provide detailed information upon not only dealing with the patient but also provide better doctor patient relationship.
In order to understand how family function affects medical utilization and to analyze the descriptive characteristics of the variables which influence family functioning and the medical utilization a study was performed in an Oryu health service Clinic from March 1987 to October 1987.
Total 204 patients were asked to complete Family APGAR designed by Smikstein(1978) within first 2 months. A chart review was then conducted 6 months after their visit and following results were obtained.
Except for the 13 patients who dropped out during the study period 161 patients were female and 30 patients were male. Their sociodemographic characteristics revealed low economic class, poorly educated, and had high risk of family dysfunction. Their mean age was 55.2 years old.
According to family APGAR they had moderate dysfunctional family function with average score of 5.26.
Family APGAR was significantly affected by age, religion, level of education, and number of generations living together. Also the chronicity of the problems patient complained were one of important factors the influence family APGAR score.
The mean number of visits was 5.7 visits per 6 months and it was notable that the higher the family APGAR score the less visit was performed. Other important factors that affect the medical utilization was the chronicity of illness.
The incidence of family dysfuction diagnosed by the residents was 12.4% similar to that of Mengel(1987).
The diagnostic accuacy of family APGAR is doughtful as it's false positive rates are fairly high but it is a good utilitarian tool in screening family function in a short time. However, the family physicians should not rely upon family APGAR alone but to emphasis on the assesment of family function and should spend more effort under standing family function in detail and further studies on extrafamiliar factors should be performed in the future.
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