Journal of the Korean Academy of Family Medicine 1990;11(3):24-30.
Published online March 1, 1990.

한 종합병원 응급실에서 가정의의 일차진료 내용에 대한 연구 (Primary Care Content Manag y Family Physicians in Emergency Room at a General Hospital)

정의식(Jeong Eu Sik),강신녕(Kang Shin Nyoung),남현(Nam Hyun),정영숙(Young Sook Cheong)

전주예수병원 가정의학과

Abstract

Patients admitted to emergency room of Presbyterian Medical Center for one year were analyzed to evaluate the role of family physicians in emergency room, and the content of primary care.
The results were as follows :
1. The number of patients managed only by family physicians were 1,560 during the study period, and this number constituted 13.5% of 11,568 patients, total patients managed at the emergency room.
2. Among the 1,560 patients the trauma-poison group was 888 cases (56.9%), and nontrauma-poison group was 606 cases(38.8%).
3. In trauma-poison group, predis posing causes were traffic accident(30.9%), C.O. poisoning (10.2%), fall down(9.3%), in order of frequency. The clinical diagnosises were lace ration(35.5%), contusion(20.3%), cerebral concussion(14.3%), in order of frequency.
4. In non-trauma-poison group, health problems were abdominal pain(37.9%), acute urticaria(13.2%), neurotic disorder(12.9%), in order of frequency.
5. The percentage of patients managed within 1 hour was increased from 8.7% to 18.7% after the establishment of department of Emergency Medicine.