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KMID : 1039620150050000102
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Korean Journal of Family Practice
2015 Volume.5 No. 0 p.102 ~ p.110
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Clinical activity of Inpatients among Family Medicine Residents
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Lee Bo-Hwa
Lee Sang-Yeoup
Kim Yun-Jin
Lee Jeong-Gyu
Jung Dong-Wook
Cho Young-Hye
Choi Eun-Jung
Lee Yu-Hyeon
Tak Young-Jin
Hwang Hye-Lim
Jo A-Ra
Lee Seung-Hun
Jeon Jeong-Suk
Park So-Young
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Abstract
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Background : The aim of this study was to ascertain the clinical method of inpatients in family medicine department, as well as to compare this clinical method with that of patients in the internal medicine department.
Methods : We examined the medical records of patients who had been hospitalized in the family medicine department of Pusan National University Yangsan Hospital from January 1, 2009 to December 31, 2013. Moreover, from October 1 to 31, 2014, we inquired after these patients’ clinical method during their stays using Naver e-mail and selected the medical departments of 12 family medicine residents and 12 internal medicine residents in Pusan National University Hospital.
Results : The most common major diagnosis was diabetes mellitus (8.1%), followed by hypertension (5.2%), pneumonia (3.7%) reflux esophagitis (2.9%), scrub typhus (2.6%) and headache indicative of internal medicine (2.6%). For instance, family medicine residents scored 1.0 higher than internal medicine residents on a 5-point Likert scale in questions that examined dietary habits, exercise habits, smoking, drinking quantity, mentality, family trees or family dynamics, cancer screening and adult immunization of inpatients with regard to the clinical method of inpatients, family medicine significantly differed from internal medicine.
Conclusion : Since the year 2000, the range of management of hospitalized patients in family medicine has expanded, interestingly this is true for both acute and chronic disease. The family residence program, which provides comprehensive and continuing care for inpatients, examines factors that affect patient’s health other than chief complaint.
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KEYWORD
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family practice, hospitalization, internal medicine
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