NUMBER OF REASONS FOR ENCOUNTER PER VISIT REASONS FOR ENCOUNTER BY ICPC-2 COMPONENTS

✁ ✂ ✄ ☎ ✁ ✆ ✝ ✞ ✟ ✄ ✠ ✁ ✆ ✠ ✁ ✡ ✞ ☛ ✂ ✁ ✂ ✄ ☛ ✂ ✄ ✠ ☛ ☞ ✌ ✍ ☞ ✣ ✪ REFERENCE 1. Solera JK, Okkes I. Reasons for encounter and symptom diagnoses: a superior description of patients’ problems in contrast to medically unexplained symptoms MUS. Family Practice. 2012; 293:272- 82. Figure 6.3 Top 10 reasons for encounter in private clinics in 2012 Multiple ICPC-2 code see Appendix 2

4.3 4.4

4.6 4.6

5.2 6.1

7.2 10.2

24.5 24.6

5 10 15 20 25 30 Medical exam - general Vomiting Headache Throat symptomcomplaint Hypertension Musculoskeletal symptomcomplaint Diarrhoea Abdominal pain Cough Fever Rate per 100 encounters Chapter 7 Diagnoses ✁ ✂ ✄ ☎ ✁ ✆ ✝ ✞ ✟ ✄ ✠ ✁ ✆ ✠ ✁ ✡ ✞ ☛ ✂ ✁ ✂ ✄ ☛ ✂ ✄ ✠ ☛ ☞ ✌ ✍ ☞ ★ ✢

CHAPTER 7: DIAGNOSES

This chapter highlights the diagnoses recorded by the doctors during patient visit to primary care clinics. The doctors could record up to six diagnoses per encounter. However the diagnoses reported are limited to diseasecondition managed at the time of visit.

7.1 NUMBER OF DIAGNOSES PER ENCOUNTER

Number of diagnoses per visit in public and private clinics is presented in Figure 7.1. Overall, 90.0 of the encounters have a range of one to two diagnoses per encounter. Majority of the visits were associated with a single diagnosis, especially in private clinics and there were relatively fewer patients presented with three or more diagnoses. Figure 7.1 Number of diagnoses managed per encounter in primary care clinics in 2012 There were 188,944 diagnoses in total, at a rate of 133.4 per 100 encounters. Distributions of total diagnoses according to sectors were as follow: ‡ 3XEOLFFOLQLFVGLDJQRVHVSHUHQFRXQWHUV ‡ 3ULYDWHFOLQLFVGLDJQRVHVSHUHQFRXQWHUV LJXUHVKRZVWKHDJHJHQGHUVSHFLÀFUDWHVRIGLDJQRVHVLQSXEOLFDQGSULYDWHFOLQLFV ‡ 7KHQXPEHURIGLDJQRVHVSHUHQFRXQWHULQFUHDVHGZLWKWKHSDWLHQWV·DJHHVSHFLDOO\DPRQJSDWLHQWV in public clinics. ‡ 7KHGLIIHUHQFHVLQGLDJQRVLVUDWHVEHWZHHQWKHWZRVHFWRUVZDVPRVWSURPLQHQWLQSDWLHQWVRIERWK genders aged 20 years onwards, where patients in public clinics were associated with a notably higher rate of diagnoses. ‡ ,QSXEOLFFOLQLFVIHPDOHSDWLHQWVDJHG\HDUVDQGDERYHKDGPRUHGLDJQRVHVSHUHQFRXQWHUWKDQ their male counterparts. As for patients under 5 years old, the diagnosis rates for males were higher. ‡ ,QSULYDWHFOLQLFVWKHGLDJQRVLVUDWHVDSSHDUHGWREHDOPRVWVLPLODUZKHQPDOHVDQGIHPDOHVZHUH compared in each age group. One Two Three •RXU 59.5 3XEOLF 22.3 14.9 3.3 82.8 3ULYDWH 14.3 2.4 0.6 P e rc e nt o f e nc o unt e rs 10 20 30 40 50 60 70 80 90 Number of diagnoses per encounter