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KMID : 1039620180080060919
Korean Journal of Family Practice
2018 Volume.8 No. 6 p.919 ~ p.925
Discordance between Personal Medical History and Major Chronic Diseases in Foreign Patients from Russia, China, and Mongolia: Experiences at a University Hospital in Korea
Byun Seong-Bo

Kim Sun-Young
Kim Byung-Sung
Yoo Jin-Ho
Kim Sang-Woo
Won Chang-Won
Park Sang-Chan
Abstract
Background: The number of foreign patients receiving medical treatment at hospitals in Korea has been rising steadily. Despite their increasing number, diversity of nationalities, and duration of stay, studies regarding the discordance between personal medical history and the presence of chronic diseases in these patients are lacking.

Methods: We included a total of 958 foreign patients from Russia, China, and Mongolia who visited a university hospital in Seoul, Korea between November 2011 and September 2016 in the study. The frequencies of hypertension, diabetes, hepatitis B infection, hepatitis C infection, and tuberculosis infection, and their association with personal medical history were analyzed.

Results: Russian patients presented the highest diagnostic rate of hypertension (5.5%). With regard to diabetes mellitus and hepatitis B infection, Russian and Chinese patients presented similar diagnostic rates of 3.5% and 0.9%, respectively. A total of 40% of hypertensive and 24.2% of diabetic patients were newly diagnosed. Among hepatitis B virus carriers from Russia, 60% had no relevant past history. Among hepatitis C virus carriers, 60%, 100%, and 75% of Russian, Chinese, and Mongolian patients, respectively, were newly diagnosed, without any previous history of hepatitis C infection.

Conclusion: The discordance between personal medical history and the diagnostic rates of specific chronic diseases in
foreign patients from Russia, China, and Mongolia was verified in the study. The possible presence of these diseases must be considered when treating patients from these countries.
KEYWORD
Chronic Disease, Personal Medical History, Foreign Patients, Tuberculosis, Hepatitis B, Hepatitis C
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