Tae Min Cho | 3 Articles |
Background
: It is very difficult for those who are engaged in day-time occupations to receive medical care, because most of the practice schedule is centered principally on daytime. Some of them may benefit greatly if there are some evening clinics. To ascertain the idea and decide whether we should begin the evening clinic, we surveyed about the extent of positive response to the evening clinic in a community. Methods : We surveyed those who dwell in a medium-sized city during the month of August, 1991, and analyzed 600 people who had answered relatively sincerely about the actual usage of the medical services and response to the evening clinic. Results : Of the 600 chosen respondents, 76.8% had positive response to the evening clinic, and 23.2% did not show any interest in the evening clinic. In analyzing the positive-response group, we found out the three most common types of their occupations were as follows in the order of frequency ; public servants, merchants, and office workers. The positive-response group responded more frequently than the negative-response group in the following answers : 'I don't make much use of hospitals, because my schedule don't fit to the practice schedule.' 'I have visited hospitals, but failed to receive medical cares, because the practice schedule was over.' 'I had to go to emergency room even without any emergency problems, because no medical clinic was available at night time.' 'I don't think the present practice hours are properly scheduled for everyone.' "The most convenient time for us to go to hospital is from 5 PM. to 9 PM.' In these responses, there was a statistically significant difference between the positive-response group and the negative-response group(P<0.05). Conclusion : The people of survey area showed highly positive response to the evening clinic, especially high in those who had experienced inconvenience in the daytime-centered practice schedule.
Background
: Most medical institutions usually do practice in daytime that it is difficult for the ordinary worker or student to visit clinics, and all more is so when family members are willing to visit altogether. Evening practice was set up and has been operated at the department of Family Medicine in Presbyterian Medical Center located in Jeon Ju City to offer medical services to community to inhabitants in their convenient time, in order to increase their work efficiency. Our study was done to evaluate the actual situation and details of evening practice. Methods : Medical records of a total of 586 visitors who had used evening practice between October 1991 and July 1992 were reviewed. Data including age, sex, month and day of visit, occupation, reason for encounter, clinical studies, procedures, and consultations to other department were collected in detail, and the diagnoses were classified according to ICPC. Results : Of 586 visitors sex ratio was 1.29:1 with male predominance, age distribution was highest in twenties(35.9%), and company employee was the largest in occupation(29.3%). The number of encounter was counted as much as 683(average 1,165 per visitor), and reasons for encounter were 171 items of which health examination was the first in number(15.9%). Among organ-systemically classified reasons for encounter generalized and unspecified reasons were the most frequent(32.8%). A total of 612 diagnoses were made (average 1.04 per visitor) among 97 kinds of diagnosis. The most common diagnosis was 'no disease', and among the organ-systemically classified diagnosis generalized and unspecified diseases was the most frequent(24.3%). A total of 1,985 diagnostic tests were carried out (mean 3.39 per visitor), the kinds of tests were 32, and the most frequently used test was CBC (11.6%). Consultation to other department was taken in 1.54% of visitors, of which infectious hepatitis was the main problem.(33.3%) Conclusion : The major reasons to encounter evening practice were health examinations of company employees and medical certificates for employments. We suggest that we should evaluate whether the visitors are satisfied with the family medicine-based evening practice.
Background
: Most women have regular menstruation since their menarche. According to a regular menstrual cycle, the hormone levels change. Also physical and mental impairments occur before menstruation. However. only recently have the interests and interest of the medical community in PMS increased. Therefore we gathered information concerning the frequency, and type of PMS in these study. Methods : In this research, 277 first and second-year high school students and 65 Margaret Pritchard Nursing college students were surveyed during the period from July 1991 to August 1991. Results : Of the 330 subjects, 26(7.9%) suffered from PMS. According to the Dawood's classification, the degree of the disease was as follows : 19(73.1%), mild ; 2(7.7%), moderate ; 5(19.2%), severe. Of the symptoms, fatigue is the most often experienced(88%). 11 subjects have taken medication for relief. Conclusion : We gathered information concerning the frequency and type of PMS. The purpose of this research is informed and aid young women through counseling and treatment of problem.
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