Background
: The Goal of health Examination is to detect and treat diseases in its early stage for asymptomatic people. But there was the opinion that people who wanted comprehensive health check-up was not asymptomatic but diseased state had several symptoms. So we have performed the comprehensive health check-up which was appropriate for above opinion. It was given priority to history and physical examination. We analyzed the result of health check-up to get the basis of the appropriate health check-up model.

Methods : All subjects was 110 persons, who visited at the outpatient clinic of Department of Family Medicine in Dong-A University Hospital from May, 1991 to April, 1992 for the purpose of comprehensive health check-up. We permitted the interview time enough to take the history and physical examination. And the medical records of subjects were reviewed and analyzed.

Results : Total number of subjects was 110, of whom 63(57%) were male and 47(43%) were female. Among the age distribution, the most was the fifth decade. The most common chief complanints was fatigue, it was 20 persons(18.2%). 21 persons chose the health screening test by themselves, of whom 13 persons chose LFT & viral hepatitis markers. The numbers of symptoms per each person were as follows ; Four symptoms was the most frequent, it was 30 persons(27%). Asymptomatic adult was only 3 persons and nine and ten symptoms were in each one case. At past history, 35 persons(32%) were diagnosed as having diseases in other hospital, and the most frequent disease was hepatitis or other liver problems in 12 persons(34.3%). Among them, re-diagnosed patients were 30 persons. 15 persons were not performed the laboratory examination, so 95 persons were diagnosed. After this examination, total patients who were diagnosed as having diseases were 89case(93.7%). The most frequent diagnosed disease was clonorchiasis in 17 cases(17.9%) and the second was chronic hepatitis in 11 cases (11.6%). By classification of ICD-9, disease of digestive system was most frequent and it was 47cases(35%). The second was 18cases(13.2%) of infectious and parasitic diseases.

Conclusion : Most of people who wanted comprehensive health check-up had diseases with several symptoms. There were also many patients who were re-diagnosed in this examination and in actually, it was necessary not to re-diagnose but to manage continuously for them.