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KMID : 0378119790060020457
Chungnam Medical Journal
1979 Volume.6 No. 2 p.457 ~ p.476
Study in Characteristics and Medical Care Utilization of In-Patients of a General Hospital.


Abstract
A study was conducted to provide comprehensive information on general characteristics and medical care utilization of in-patients of a university hospital.
Out of 5,627 in-patients admitted to Chungnam University Hospital from January 1 to Decembre 31, 1978, 2,525 were randomly sampled for the study. Medical records the those selected were carefully reviewed and analyzed.
The results obtained are as follows;
1. Among the total admitted, the most predominant age group were those of 20 and
over years of age. Male was more dominant under 20 and over 60, however female aged 20-59 outnumbered male.
2. Department of internal medicine were followed by general surgery and pediatrics with about one thirds of the total admitted being taken care under it.
3. About fifty-eight percent of patients stayed in the hospital snorter than 1 week, while 33.4 percent stayed 2-4 weeks, and tnose stayed longer than 4 weeks were mostly come from the department of orthopedics, neuropsychiatrics, and neurosurgery.
4. Number of admission was highest in spring followed by summer, autumn, and winter. There was no significant difference in seasonal variations of the admission, among various departments of medical specialty.
5. The most prevalent cause of admission was accident and poisoning (XVII) with
highest frequency at age 20-29 both in male and female. and for female only the most
prevalent cause was deliveries and complication of pregnancy, childbirth and puerperium(XI)
6. Among the admitted, nearly half of tnem were from Dae Jeon City where the
hospital was located.
7. Among the admitted to the department of internal medicine, those from A area constituted major part and those from area G were dominant in number in the department of general surgery and those from area C were dominant in number in the department of pediatrics and neuropsychiatrics.
8. About forty-four percent of the admitted had no previous treatment before admis¡þsion, while 33. 2 percent visited private clinic, 8. 5 percent nad their previous treatment at general hospital, and only 4.9 percent sought for treatment from auxilliary personnel at, such as pharmacy.
9. In-patients from C and D area utilized private clinic and hospital for the treatment of their condition before admission to the hospital, and those from A area less utlized herb drug store and health center compared to the others. Patients of the department of pediatrics visited private clinic most, those of neuropsychiatrics department visited general hospital and those of dermatology department mainly depended on pharmacy.
10. About thirty-three percent of the patients had their condition improved, 27.8 percent recovered, 19. 1 percent discharged at his or her own will, 5. 2 percent worsened, and 4.8 percent deceased as an outcome of treatment since their admission.
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