100
National Medical Care Statistics 2014
Figure 10.3.2: Top 10 investigations ordered in private clinics in 2014
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Comprise multiple ICPC-2 codes see Appendix 4
10.4 DIAGNOSES WITH INVESTIGATIONS ORDERED
Table 10.4.1 reports the most common diagnoses for which investigations were ordered in primary care in 2014.
• The top 10 diagnoses for which investigations were most frequently ordered accounted for 73.2 of all diagnoses accompanied by tests.
• Diabetes accounted for a quarter 24.3 of the diagnoses with at least one investigation ordered. This corresponds with another finding in NMCS 2014 that glucose andor glucose tolerance test
was the most frequently ordered investigation in primary care see Section 10.2. • The second most common diagnosis for which investigations were ordered was hypertension, which
amounted to 16.0 of all diagnoses accompanied by tests, followed by lipid disorder at 9.6. • Together, the three aforementioned chronic diseases represented half 49.9 of all diagnoses for
which investigations were ordered, a finding which could be attributed to the high burden of the three metabolic syndrome-related conditions in primary care see Chapter 8.
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2.0 2.5
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6 8
10 12
14 16
18 20
22 Hepatitis serology
Urine pregnancy test
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Obstetric ultrasound Blood test
Full blood count Lipids
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Glucoseglucose tolerance
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101
• •
• •
Chapter 10 : Investigations
Table 10.4.1: Top 10 diagnoses
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uently ordered in primary care clinics in 2014
Rank Diagnosis
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nweighted count
n
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599 Weighted
count n
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Percent
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diagnoses with
investigation n
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Rate per 100 contacts with
each diagnosis
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CI
1 Diabetes - a
ååæ
1,958 20,157
24.3 55.1 47.9–62.3
Non-gestational diabetes
æ
1,884 19,648
23.7 55.4 47.9–63.0
Gestational diabetes 74
509 0.6
44.2 30.3–58.1 2
Hypertension - a
åå æ
1,613 13,248
16.0 23.6 19.0–28.1
Hypertension - cardiovascular
æ
1,605 13,174
15.9 23.5 18.9–28.2
Hypertension in pregnancy
8 74
0.1 24.3 4.4–44.3
3 Lipid disorder
938 8,004
9.6 23.1 17.1–29.1
4 Medical examination -
pregnancy
æ
538 5,129
6.2 54.2 44.7–63.7
5 Upper respiratory tract
infection 475
3,793 4.6
5.2 3.8–6.6
6 Medical examination
æ
313 3,371
4.1 44.9 36.2–53.6
7 Fever
213 2,311
2.8 20.5 15.2–25.9
8 Urinary tract infection
æ
187 2,294
2.8 61.5 52.6–70.5
9 Pregnancy
101 1,264
1.5 73.3 62.3–84.2
10 Blood test
56 1,204
1.5 96.8 93.1–100.0
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Comprise multiple ICPC-2 codes see Appendix 4
REFERENCE
1. Best test
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The general principles of laboratory investigations in primary care [Internet]. Dunedin New Zealand: Best Practice Advocacy Centre New Zealand; 2013 Feb [cited 2015 May 7];p.3-9.
Available from: http:www.bpac.org.nzBT2013Februarydocsbest
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- 11.pdf
