Chapter 10
AdviceCounselling And Procedures
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CHAPTER 10: ADVICECOUNSELLING AND PROCEDURES
Counselling interventions in clinical settings are employed to assist patients in adopting, changing, or maintaining behaviours affecting health outcomes and health status.
1
In primary care, healthcare providers have the opportunities to provide advice on health promotions and lifestyle counselling, but
heavy workload and lack of time were often reported by doctors as barriers to this interventions.
1,2
In this report, advicecounselling refer to health education, advice or counselling delivered by doctors or other healthcare professionals during patient visit to primary care. This can be related to disease,
medication compliance, healthy diet, lifestyle intervention or others. In addition, the number of procedures and type of procedures commonly performed in primary care clinics were also measured. Procedures
refer to any therapeutic procedures, rehabilitation or administrative procedures undertaken in the clinic during patient visit.
This chapter reports the advicecounselling and procedures provided to the patients at each encounter. For each patient visit, the doctors were asked to record any procedurecounsellingother treatment provided
and linked to diagnosis of which this procedurecounsellingother treatment was indicated for.
10.1 NUMBER OF ADVICECOUNSELLING AND PROCEDURES
Table 10.1 shows the proportion of encounters provided with advicecounselling and procedures during visit to primary care clinics. Advicecounselling were provided for 19.3 of all encounters whereas
procedures were part of management process for only 2.3 of encounters.
Table 10.1: Advicecounselling and procedures in primary care clinics in 2012
Variable Overall
Public Private
Number of encounters
Percent of encounters
95 CI n = 141,593
Number of encounters
Percent of encounters
95 CI n = 42,340
Number of encounters
Percent of encounters
95 CI n = 99,253
Advicecounselling 27,257
19.3 19.1 - 19.5 15,747
11.1 11.0 - 11.3 11,510
8.1 8.0 - 8.3 Procedures
3,219 2.3 2.2 - 2.4
623 0.4 0.4 - 0.5
2,595 1.8 1.8 - 1.9
10.2 TYPES OF ADVICE AND COUNSELLING
Table 10.2 displays the types of advice counselling provided to patients attending primary care clinics. 0DMRULW\RIWKHDGYLFHFRXQVHOOLQJSURYLGHGZHUHIRUJHQHUDODGYLFHFRXQVHOOLQJWKDWLQFOXGH
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primary care clinics. Lifestyle advice accounted for majority of the cases. Others were related to quit smoking, alcohol, illicit drugs, stress management or other psychological advice.
PRQJVRPHRIWKHPRVWFRPPRQO\SURYLGHGDGYLFHFRXQVHOOLQJRQWKHHQGRFULQHPHWDEROLFGLVHDVH were diabetic health education, foot care and diabetic diet.
