|
KMID : 1100920220430050305
|
|
Korean Journal of Family Medicine
2022 Volume.43 No. 5 p.305 ~ p.311
|
|
|
Comparison between the International Classification of Primary Care and the International Classification of Diseases Classifications in Primary Care in Korea
|
|
Cho Mi-Ra
Kwon Yu-Jin
Kim Shin-Hye
Hwang Jin-Seub
Kim Ji-Min
Yang Jang-Mi
Ahn Jeong-Hoon
Shim Jae-Yong
|
|
|
Abstract
|
|
|
Background: The International Classification of Primary Care-2 (ICPC-2) is a classification method designed for primary care. Although previous studies have found that ICPC-2 is a useful tool for demonstrating the relationship between patients’ expectations and health providers’ diagnoses, its utility of ICPC-2 has yet to be fully studied in Korea. This study aimed to evaluate the practicality of ICPC-2 in Korean primary care.
Methods: The study was conducted at primary care clinics in Seoul and Gyeonggi areas from October to November 2015. Third-year family medicine residents examined and analyzed the medical records of patients who visited primary care physicians using ICPC-2, and the results were compared with those obtained using the International Classification of Diseases-10 (ICD-10) (Korean version: Korean Standard Classification of Diseases-7).
Results: A total of 26 primary care physicians from 23 primary care clinics participated in the study. Furthermore, 2,458 ICD-10 codes and 6,091 ICPC-2 codes were recorded from the data of 1,099 patients. The common disease codes were vasomotor and allergic rhinitis (J30), according to ICD-10, and acute upper respiratory infection (R74) in ICPC-2. Comparing disease status by body systems, the proportion of gastrointestinal disease with ICD-10 codes was significantly higher than that with ICPC-2 codes (P<0.001). Furthermore, patients with >4 diagnoses accounted for 36% of the ICD-10 classifications, whereas those with >4 diagnoses accounted for 4% of the ICPC-2 classifications.
Conclusion: Introducing ICPC as a complementary means for diagnosing common diseases could be a practical approach in Korean primary care.
|
|
|
KEYWORD
|
|
|
International Classification of Diseases, International Classification of Primary Care, Primary Health Care, Korea
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
  
|