Journal of the Korean Academy of Family Medicine 1983;4(12):11-19.
Published online December 1, 1983.

가정의학의 진료내용 -8,484건의 건강문제-

허봉렬

서울대학교병원 가정의학과

Abstract

In order to describe the contents of Family Practice and propose a research model in primary care, 8,484 health problems were collected and analyzed from May 1, 1983 to October 31, 1983 in the Family Practice Center, Seoul National University Hospital.
The general findings are as follows:
1. The 1,792 patients composed of 46% of males and 54% of females. Patients less than 15 years were 23.3% and those older than 65 years were 2.6%.
2. During the 6 month period, the average number of visits per patient was 3.4, and it had no significant difference between both sexes, but had the tendency to increase with age.
3. The average health problems per patient-visit were 1.4.
4. 18 Family Practice residents and staffs used 308 health problems among the total of 362 from ICHPPC.
5. The 50th percentile of health problems were contained in 19 descriptive diagnoses, 70th percentile in 46, 80th percentile in 72, and 95th percentile were contained in 160 descriptive diagnoses. The morbidity pattern had no resemblance with those from the hospital patients and also differed from the Virginia study.
6. The Categories 16 (Signs, symptoms, ill-defined conditions and 18 Supplementary classification including preventive procedures) were 21.8% and 13.6% of all health problems respectively.
7. 91% of patients were expected to return at the specifiec time or if needed. The consulation/referral rate was 3.2%.
8. It is necessary to perform the collaborative study involving parcticing family physicians to improve and generalize the findings of this study.
9. It is necessary to develop the Family Practice residency curriculum on the basis of morbidity data of primary care in Korea and also we should not apply the foreign curriculum and health services procedures to our situation without modification.