KMID : 0384320110320050285
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Korean Journal of Family Medicine 2011 Volume.32 No. 5 p.285 ~ p.291
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Trends of the New Outpatients in a University-based Family Practice
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Kim Byung-Sung
Kim Sang-Hyuk Choi Hyun-Rim Won Chang-Won
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Abstract
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Background: Analysis of outpatient visits to primary care offers essential data for residency training by understanding ¡¯¡¯reasons for encounter (RFE).¡¯¡¯ This study was designed to recognize the effect of population aging on demographic characteristics and RFEs.
Methods: We included all patients who had visited family practice clinic in Kyung Hee University Hospital in Seoul during each first 5 working days of September, October, and November in 2001 and 2008. New patients included those who hadn¡¯¡¯t visited within the last 6 months or more. Information on each patient¡¯¡¯s age, sex, and reason for encounter was obtained from the electronic medical record. The RFEs were compared using International Classifi cation of Primary Care (ICPC)-2-E.
Results: Mean age of overall outpatients was 50.5 and 52.4 years in 2001 and 2008 respectively. The number of new outpatient visits increased from 215 (21.3%) to 326 (29.7%) between 2001 and 2008 (P < 0.001) along with the number of patients aged 65 or more from 7.4% to 12.0% (P = 0.08). Mean age of established patients was 52.5 and 56.9 years (P < 0.001), and the patients aged 65 or more was 14.1% and 35.8% (P < 0.001) in 2001 and 2008 respectively. Analysis by ICPC- 2-E revealed a decrease in chapter A in 2008 (P = 0.03) and an increase in chapter F, L, and X (P = 0.01, 0.003, <0.001). Component 1 had increased (P = 0.01), and component 2 had decreased (P = 0.04) in proportion.
Conclusion: Changes in population composition have brought a shift of the distribution of age in outpatients, more signifi cantly in follow-up patients. Comparison by ICPC-2-E showed changes in RFEs of new patients between 2001 and 2008.
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KEYWORD
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International Classifi cation of Primary Care, Primary Care, New Patient, Chapter
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