TYPES OF ADVICECOUNSELLING ADVICECOUNSELLING AND PROCEDURES

110 National Medical Care Statistics 2014 Figure 11.5.2: Ten most common procedures performed in private clinics in 2014 Comprise multiple ICPC-2 codes see Appendix 4

11.6 DIAGNOSES WITH ADVICECOUNSELLING AND PROCEDURES

Table 11.6.1 and Table 11.6.2 list the top 10 diagnoses managed with advicecounselling and procedures, respectively. • The three diagnoses for which advice and counselling were provided most frequently were all chronic diseases: hypertension 20.6 of all advicecounselling provided, diabetes 18.5 and lipid disorder 13.9. Together, these three conditions accounted for over half 52.9 of all advicecounselling given as part of patient management in primary care. • Patients with asthma, for whom nebulisation forms an important part of the treatment procedure, contributed to the largest proportion 8.5 of all diagnoses managed with a procedure.

0.1 0.2

0.2 0.3

0.3 0.5

0.9 1.4

2.0 3.0

0.0 0.5 1.0 1.5 2.0 2.5 3.0 3.5 4.0 4.5 Medical examination completepartial Contraception procedure Administrative procedure Incisiondrainageflushingaspirationremoval body fluid Repairfixation - suturecastprosthetic device applyremove Excisionremoval tissuebiopsydestruction debridementcauterisation Immunisation Other therapeutic medicationprocedures minor surgery Dressingpressurecompressiontamponade Injectioninfiltration Rate per 100 encounters 111 • • Table 11.6.1: Ten most common diagnoses managed with advicecounselling in primary care clinics in 2014 Rank Diagnosis Unweighted count n = 10,634 Weighted count n = 102,779 Percent of diagnoses with advice and counselling n = 102,779 Rate per 100 encounters 95CI n = 325,818 Rate per 100 contacts with each diagnosis 95 CI 1 Hypertension - all 2,394 21,128 20.6 6.5 5.2–7.8 37.6 32.6–42.6 Hypertension - cardiovascular 2,378 20,998 20.4 6.4 5.1–7.8 37.5 32.5–42.5 Hypertension in pregnancy 16 130 0.1 0.0 0.0–0.1 42.5 20.4–64.7 2 Diabetes - all 2,014 19,018 18.5 5.8 4.3–7.4 52.0 45.1–58.9 Diabetes - non- gestational 1,927 18,282 17.8 5.6 4.1–7.1 51.6 44.5–58.6 Gestational diabetes 87 737 0.7 0.2 0.1–0.3 64.0 49.8–78.2 3 Lipid disorder 1,562 14,286 13.9 4.4 3.2–5.6 41.2 34.6–47.8 4 Upper respiratory tract infection 879 8,290 8.1 2.5 2.0–3.1 11.3 8.9–13.7 5 Asthma 183 2,537 2.5 0.8 0.4–1.1 27.2 18.1–36.2 6 Medical examination - pregnancy 224 2,127 2.1 0.7 0.4–0.9 22.5 14.6–30.4 7 Gastroenteritis 197 2,106 2.0 0.6 0.5–0.8 16.0 12.0–20.1 8 Stomach function disorder 178 1,660 1.6 0.5 0.4–0.6 19.0 13.9–24.1 9 Musculoskeletal symptomcomplaints 158 1,623 1.6 0.5 04–0.6 12.0 8.7–15.2 10 Fever 169 1,569 1.5 0.5 0.3–0.7 13.9 8.3–19.6 Comprise multiple ICPC-2 codes see Appendix 4 Chapter 11 : AdviceCounselling and Procedures