70
National Medical Care Statistics 2014
CHAPTER : DIAGNOSES
In this chapter, diagnoses reported by primary care providers at the time of visit are presented and discussed. During an encounter, a patient might present with an existing or new problems, and the
healthcare provider would record the problems as symptoms or diagnoses. Healthcare providers could record more than one diagnosis for each encounter. Note that only diagnoses managed and reported for
each encounter were captured.
È
.1
É Ê Ë
BER OF DIAGNOSES PER ENCO
Ê
NTER
A total of 436,743 diagnoses were recorded in NMCS 2014, at a rate of 134.0 diagnoses per 100 encounters. Distributions of recorded diagnoses according to sectors were as follows:
• Public clinics: 154.9 diagnoses per 100 encounters • Private clinics: 119.9 diagnoses per 100 encounters
Figure 8.1.1 presents the number of diagnoses per visit by sectors in 2014. • More than three-quarters 83.5 of patients who presented to private clinics had a single
diagnosis per visit, compared with 63.0 of their counterparts in public clinics.
Figur
Ì È
Í
1.1: Number
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diagnoses managed per encounter in primary care clinics in 2014
Note: Missing data excluded from analysis.
One Two
Three ≥ Four
Public 63.0
20.4 15.5
1.2 Private
83.5 13.4
2.9 0.3
10 20
30 40
50 60
70 80
90
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Chapter 8 : Diagnoses
Figure 8.1.2 shows the age- and gender-specific rate of diagnoses in public and private clinics in 2014. In keeping with our previous findings in 2012,
1
the number of diagnoses increased with increasing age for both sectors, with the increase being more pronounced in the public sector, especially for age groups
over 40 years.
Figur
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1.2: Age- and gender- speci
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ic rates
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diagnoses managed per 100 encounters by sector in 2014
Note: Missing data excluded from analysis.
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.2 DIAGNOSES BY ICPC-2 COMPONENTS
Diagnoses managed in primary care were categorised by ICPC-2 components based on the aspects of the consultation. Table 8.2.1 shows the distribution of diagnoses by these components in terms of
proportion of all diagnoses and rate per 100 encounters. • Diagnosis of diseases accounted for 77.9 of all diagnoses. Nearly half 47.4 of all diagnoses
were categorised as
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other diagnosisdiseases”, a classification for diagnoses which did not fit into the categories of infectious diseases, injuries, neoplasms and congenital anomalies. This was
followed by infectious diseases 27.5, which were recorded at a rate of 36.9 diagnoses per 100 encounters.
• The second most frequent diagnosis by ICPC-2 component was the
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symptoms and complaints” category, which was reported at a rate of 22.2 diagnoses per 100 encounters.
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209.6
139.9
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50 100
150 200
250
1 1–4
5–19 20–39
40–59 ≥ 60
R a
te pe
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e n
c o
un te
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Age group years
Public; male Public; female
Private; male Private; female
