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7.3 DIAGNOSES BY ICPC-2 CHAPTER
Table 7.2 shows the distribution of diagnoses by ICPC-2 chapter, and most frequent diagnoses within each chapter in an order of decreasing frequency. Only individual diagnoses constituting at least 0.5 of
all diagnoses were listed in Table 7.2. 5HVSLUDWRU\ SUREOHPV ZHUH WKH PRVW IUHTXHQWO\ PDQDJHG GLDJQRVHV DFFRXQWLQJ IRU RI DOO
diagnoses and 32.2 of patient encounters. Of these, upper respiratory infection was the commonest 22.7 per 100 encounters.
6HFRQGZHUHHQGRFULQHPHWDEROLFDQGQXWULWLRQDOSUREOHPVWKDWZHUHPDQDJHGLQRXWRI patient encounters. Lipid disorder and diabetes were the most common diagnoses within this
chapter. DUGLRYDVFXODUSUREOHPVUHSUHVHQWRIDOOGLDJQRVHVDQGUHSRUWHGDPRQJSHUHQFRXQWHUV
Hypertension was most frequently cited and formed the majority of diagnoses within cardiovascular chapter.
LVHDVHFRQGLWLRQ RI XQVSHFLÀHG QDWXUHVLWH UHIHUV WR FRQGLWLRQ LQ ZKLFK WKH GLDJQRVHV ZHUH QRW VSHFLÀHGRUQRGLDJQRVLVZDVPDGH,QPRVWFDVHVWKHGLDJQRVLVFROXPQZDVOHIWEODQNDQGKHQFH
FDWHJRULVHGDVXQVSHFLÀHG Minor differences were noted between public and private clinics in relation to the distribution of diagnoses
by ICPC-2 chapter. For instance, endocrinemetabolic and cardiovascular problems were more frequently managed in public clinics and accounted for higher proportion of all diagnoses in public compared to
private clinics. On the other hand, respiratory and digestive problems were more commonly managed at private clinics. Nearly all chronic diseases were less frequently reported at private clinics and comprised
a lower percentage of all diagnoses managed in private clinics.
Table 7.2: Diagnoses by ICPC-2 chapters and common individual diagnoses within chapter managed in primary care clinics in 2012
Diagnosis Number
Percentage of all diagnoses
n = 188,944 Rate per 100
encounters n = 41,593
95 CI LCL
UCL Respiratory
45,614 24.14
32.22 31.97
32.46
Upper respiratory infection, acute 32,126
17.00 22.69
22.47 22.91
Asthma 3,881
2.05 2.74
2.66 2.83
Tonsillitis 2,333
1.23 1.65
1.58 1.72
Cough 1,942
1.03 1.37
1.31 1.43
Acute bronchitisbronchiolitis 1,168
0.62 0.83
0.78 0.87
Sinusitis acutechronic 879
0.47 0.62
0.58 0.66
Endocrinemetabolic and nutritional 26,545
14.05 18.75
18.55 18.95
Lipid disorder 11,746
6.22 8.30
8.15 8.44
Diabetes 11,757
6.22 8.30
8.6 8.45
Diabetes, non-insulin dependent 11,445
6.06 8.08
7.94 8.23
Diabetes, insulin dependent 312
0.17 0.22
0.20 0.25
Gout 1,124
0.59 0.80
0.75 0.84
continued
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