73
104.4 36.9
3.9 0.1
0.1 63.5
22.2 ve
6.7 es
0.5 0.0
0.2 0.0
134.0
•
•
•
Chapter 8 : Diagnoses
Tabl
e
3.1: Diagnosis by ICPC-2 chapters and the most common individual diagnoses within each chapter in NMCS 2014
Diagnosis ICPC-2 chapter
U
nweighted count
Weighted count
Percent total
diagnoses n
743 Rate per 100
encounters 95
CI n
Respiratory 164
102,329 23.4
31.4 29.9 32.9
Upper respiratory tract infection 5,928
73,345 16.8
22.5 21.1–23.9 Asthma
718 9,343
2.1 2.9 2.3–3.4
Tonsillitis 416
4,662 1.1
1.4 1.2–1.7 Cough
283 3,468
0.8 1.1 0.8–1.3
Acute bronchitis 146
2,069 0.5
0.6 0.4–0.8
Endocrine, metabolic and nutritional
7, 75,929
17.4 23.3 19.6
27.0
Non-gestational diabetes 3,609
35,443 8.1
10.9 9.0–12.8 Diabetes type 2
2,993 29,024
6.7 8.9 7.0–10.8
Diabetes - unspecified 518
5,680 1.3
1.7 1.1–2.4 Lipid disorder
3,693 34,668
7.9 10.6 8.7–12.6
Cardiovascular 6,337
62,233 14.3
19.1 16.9 21.3
Hypertension - cardiovascular 5,747
55,940 12.8
17.2 15.1–19.3 Ischaemic heart disease
236 2,160
0.5 0.7 0.5–0.8
General unspeci
ied 3,449
42,
2
9.7 13.0 11.
14.1
Fever 900
11,267 2.6
3.5 2.9–4.1 Medical examination
711 7,509
1.7 2.3 1.8–2.8
Diseasecondition of unspecified naturesite
400 5,330
1.2 1.6 1.2–2.1
Digestive 2,
37,011 .5
11.4 10.6 12.2
Gastroenteritis 981
13,139 3.0
4.0 3.5–4.6 Stomach function disorder
687 8,748
2.0 2.7 2.3–3.1
Abdominal pai
n
171 2,573
0.6 0.8 0.6–1.0
Diarrheoa 186
2,387 0.6
0.7 0.6–0.9
Musculoskeletal 2,015
6.6 .9
.0 9.7
Musculoskeletal symptomcomplaints
1,101 13,551
3.1 4.2 3.7–4.6
Back problems 414
6,812 1.6
2.1 1.7–2.5 Arthritis - a
ll
257 4,278
1.0 1.3 0.7–1.9
Osteoarthritis 176
3,215 0.7
1.0 0.4–1.6 Sprainstrain
134 2,242
0.5 0.7 0.5–0.9
74
National Medical Care Statistics 2014
Tabl 3.1 continued: Diagnosis by ICPC-2 chapters and the most common individual
diagnoses within each chapter in NMCS 2014
Diagnosis ICPC-2 chapter
nweighted count
Weighted count
Percent total
diagnoses n
743 Rate per 100
encounters 95
CI n
+, - . -
Skin 2,225
27,
, -5
6.3
-
.5 7.7 9.2
Dermatitis
1
585 7,298
1.7 2.2 1.9–2.6
Dermatitis, contactallergic 560
7,070 1.6
2.2 1.8–2.5 Dermatitis, atopic eczema
18 155
0.0 0.1 0.0–0.1
Injury skin - a
3 3 1
226 3,018
0.7 0.9 0.7–1.2
Urticaria 165
2,951 0.7
0.9 0.5–1.4
Pregnancy, childbearing, amily
planning 1,916
. -
213 4.2
5.6 4.6 6.6
Medical examination - pregnancy
1
990 9,458
2.2 2.9 2.3–3.6
Neurological 996
14,103 3.2
4.3 3.7 4.9
Headache - a
33 1
627 9,097
2.1 2.8 2.4–3.2
Headache 351
5,106 1.2
1.6 1.2–1.9 Migraine
187 2,878
0.7 0.9 0.7–1.1
V
ertigodizziness 208
3,036 0.7
0.9 0.7–1.2
Eye
, -
5,
9 - .
1.4 1
4 -
1.6 2.0
Conjunctivitis
1
310 3,343
0.8 1.0 0.9–1.2
rological
-
5,969 1.4
1
4 -
1.6 2.1
Urinary tract infection
1
302 3,729
0.9 1.1 0.9–1.3
Female genital
--
5,114 1.2
1.6 1.3 1.
-
Menstrual problems
1
207 2,929
0.7 0.9 0.7–1.1
Psychological 363
4,674 1.1
1.4 0.9 1.9
Ear 269
3,389 0.8
1.0 0.9–1.2
Blood, blood orming organs
6
immune mechanism 210
2,226 0.5
0.7 0.5 0.
-
Male genital 57
-
0.2 0.2 0.1
0.3 Social problems
15 135
0.0 0.0 0.0
0.1 Total
-
151 436,743
100.0 134.0 130.6
137.5
7
Comprise multiple ICPC-2 codes see Appendix 4
The range and frequency of diagnoses managed in primary care have been studied internationally, and similar patterns were observed across countries. The 10 most commonly managed problems in general
practice in Australia were hypertension, immunisation, upper respiratory tract infection, depression, diabetes, lipid disorder, general check-up, osteoarthritis, back complaint and prescription request.
2
Closer to home, the top primary diagnoses seen in primary care clinics in Singapore were upper respiratory infection 13, essential hypertension 7, type 2 diabetes mellitus 6 and
hyperlipidaemia 5.
3
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