Journal of the Korean Academy of Family Medicine 1989;10(7):10-17.
Published online July 1, 1989.

ICPC분류법에 의한 가정의학과 전공의의 외래환자 진료내용분석

이현철 박주성 곽기우 윤방부

연세대학교의과대학 가정의학교실

Abstract

In order to analyze the clinical contents of Family Medicine, eight 3rd year Family medicine residents who were rotated five satellite clinic were requested to record the clinical contents for one random day in every week from July 1988 to October 1988.
The following results were obtained.
1. The total number of patient were 1,392, among them 591 were male(42.4%), 801 were female(57.6%). There were more female visitors than male in all age group, execpt in 0-1 9 age group.
2. The pediatric group under 14 years of age was 28.2% and the geriatric group above 65 was 12.8%
3. The total number of reasons for encounter(RFEs) were 1,807 with the mean number of REFs per encounter was 1.3, we observed 148 REFs. The top 20 reasons occupied 63.0%, cough was the most frequent REF.
4. According to systemic division of diagnosis, Digestive(23.9%), Respiratory(21.2%), Musculoskeletal(15.5%) and Skin(15.0%) were ordered.
5. By using the 140 differant kinds of diagnosis of 1,392 participants, mean number of diagnoses of each patients was 1.0, out of 140 diagnoses the top 20 outnumbered 63.7%, and Disorder of stomach function, U.R.I., Uncomplicated hypertension, Other osteoarthritis, Acute Tonsilitis were 13.7%, 9.3%, 6.9%, 4.0%, 3.8% respectively.
6. The frequency of obstetric problems, male and female genital problems were very low, showing 0.1%, 0.1%, 1.7% in order. No one complained of social problem as a reason for encounter.
7. The mean number of laboratory examination performed by each patient was 0.34 and of total 39 kinds of laboratory examination top 10 include 84.0%, and extremity X-ray, Chest X ray, Urinalysis, CBC, LFT were 16.1%, 14.0%, 13.1%, 10.2%, 9.7% respectively.
8. Twenty-eight patients(2.0%) were refered to other specialists,and the frequency of referred specialties were General Surgery, Orthopedic Surgery and OB. and GYN.and the main reason to refer was to determine diagnosis and operation.
9. The ICPC method is considered to be more comprehensive as it is available to code RFEs, Diagnosis, Process of care, therefore further study on ICPC in primary care is necessary.