105
24.5 37.5
15.6
6.9 5.0
8.2
Chapter 11 : AdviceCounselling and Procedures
11.2 TYPES OF ADVICECOUNSELLING
The different types of advicecounselling provided in primary care clinics are shown in Table 11.2.1. • About one-third 32.7 of advice and counselling provided in primary care clinics were general
advicecounselling. • Advices on nutritionweight 21.7 and lifestyle advices 18.5 were the second and third most
common advicecounselling given, respectively.
Table 11.2.1: Types of advice and counselling provided in primary care clinics in 2014
Advicecounselling Unweighted
count Weighted
count Percent of
advice and counselling
n = 111,707 Rate per 100
encounters 95 CI
n = 325,818 Rate per 100
diagnoses 95CI
n = 436,743
Advicecounselling; NEC
3,457 36,524
32.7 11.2 9.4–13.1
8.4 7.1–9.6 Advicecounselling;
nutritionweight 2,666
24,269 21.7
7.4 6.2–8.7 5.6 4.6–6.5
Advicecounselling; lifestyle
1,958 20,642
18.5 6.3 4.9–7.8
4.7 3.7–5.7 Advicecounselling;
treatment 983
9,269 8.3
2.8 2.2–3.5 2.1 1.6–2.6
Advicecounselling; medication
502 4,929
4.4 1.5 1.1–1.9
1.1 0.9–1.4 Advicecounselling;
exercise 394
4,286 3.8
1.3 0.9–1.7 1.0 0.7–1.3
Advicecounselling; healthbody
285 3,193
2.9 1.0 0.7–1.3
0.7 0.5–1.0 Advicecounselling;
pregnancy 328
2,853 2.6
0.9 0.6–1.2 0.7 0.4–0.9
Advicecounselling; smoking
109 1,240
1.1 0.4 0.2–0.5
0.3 0.2–0.4 Advicecounselling;
other 66
1,121 1.0
0.3 0.1–0.6 0.3 0.1–0.4
Advicecounselling; prevention
63 858
0.8 0.3 0.1–0.4
0.2 0.1–0.3 Family planning
66 632
0.6 0.2 0.1–0.3
0.1 0.1–0.2 Advicecounselling;
relaxation 43
498 0.4
0.2 0.1–0.2 0.1 0.1–0.2
Reassurancesupport 43
474 0.4
0.1 0.1–0.2 0.1 0.0–0.2
Advicecounselling; drug abuse
45 439
0.4 0.1 0.0–0.3
0.1 0.0–0.2 Advicecounselling;
alcohol 10
296 0.3
0.1 0.0–0.2 0.1 0.0–0.2
106
National Medical Care Statistics 2014
Table 11.2.1 continued: Types of advice and counselling provided in primary care clinics in 2014
Advicecounselling Unweighted
count Weighted
count Percent of
advice and counselling
n = 111,707 Rate per 100
encounters 95 CI
n = 325,818 Rate per 100
diagnoses 95CI
n = 436,743
Result testprocedure
11 115
0.1 0.0 0.0–0.1
0.0 0.0–0.0 Observewait
2 42
0.0 0.0 0.0–0.0
0.0 0.0–0.0 Advicecounselling;
psychological 1
16 0.0
0.0 0.0–0.0 0.0 0.0–0.0
Referral 2
11 0.0
0.0 0.0–0.0 0.0 0.0–0.0
Consultation with primary care
provider 1
3 0.0
0.0 0.0–0.0 0.0 0.0–0.0
Total 11,035
111,707 100.0
34.3 30.0–38.6 25.6 22.8–28.4
Comprise multiple ICPC-2 codes see Appendix 4 Note: NEC – Not elsewhere classified.
11.3 MOST COMMON ADVICECOUNSELLING PROVIDED IN PUBLIC AND PRIVATE CLINICS
The most common advicecounselling provided in public and private clinics are presented in Figure 11.3.1 and Figure 11.3.2, respectively.
• The top four advicecounselling provided for both public and private clinics were, in descending order of frequency, general advice and counselling, advices on nutritionweight, lifestyle education
and education on treatment. • The rates of advicecounselling provision were evidently higher in the public sector. For instance,
general advicecounselling was provided at a rate of 17.9 per 100 encounters in public clinics, compared to 6.7 per encounters in private clinics.
• Other advicecounselling provided in both public and private clinics included advice and counselling on medication, pregnancy, exercise, general health and smoking.
107
115 0.0
0.0 42
0.0 0.0
; 16
0.0 0.0
11 0.0
0.0
707 34.3
6 25.6
4
•
•
•
Chapter 11 : AdviceCounselling and Procedures
Figure 11.3.1: Ten most common advicecounselling provided in public clinics in 2014
Comprise multiple ICPC-2 codes see Appendix 4
Figure 11.3.2: Ten most common advicecounselling provided in private clinics in 2014
Comprise multiple ICPC-2 codes see Appendix 4
0.4 0.4
0.7 1.5
1.8 2.7
4.1 11.2
11.9 17.9
5 10
15 20
25 Family planning
Advicecounselling; smoking Advicecounselling; healthbody
Advicecounselling; exercise Advicecounselling; pregnancy
Advicecounselling; medication Advicecounselling; treatment
Advicecounselling; lifestyle Advicecounselling; nutritionweight
Advicecounselling; NEC
Rate per 100 encounters
0.3 0.3
0.4 0.7
1.2 1.2
2.0 3.1
4.4 6.7
5 10
15 20
25 Advicecounselling; pregnancy
Advicecounselling; smoking Advicecounselling; other
Advicecounselling; medication Advicecounselling; healthbody
Advicecounselling; exercise Advicecounselling; treatment
Advicecounselling; lifestyle Advicecounselling; nutritionweight
Advicecounselling; NEC
Rate per 100 encounters
108
National Medical Care Statistics 2014
11.4 TYPES OF PROCEDURES
Table 11.4.1 shows the different types of procedures provided in primary care clinics in 2014. • The most common procedure performed in primary care clinics was injectioninfiltration,
accounting for 27.9 of all procedures, followed by procedure for dressing, pressure or compression of wounds at 21.4.
• Immunisation, an important measure for disease prevention, accounted for 10.4 of all procedures performed in primary care.
Table 11.4.1: Types of procedures provided in primary care clinics in 2014
Procedure Unweighted
count Weighted
count Percent of
procedures n = 25,001
Rate per 100 encounters
95 CI n = 325,818
Rate per 100 diagnoses
95 CI n = 436,743
Injectioninfiltration 419
6,977 27.9
2.1 1.5–2.8 1.6 1.1–2.1
Dressingpressure compressiontamponade
429 5,345
21.4 1.6 1.4–1.9
1.2 1.0–1.4 Other therapeutic
medicationprocedures minor surgery
310 3,953
15.8 1.2 1.0–1.5
0.9 0.7–1.1 Immunisation
217 2,601
10.4 0.8 0.6–1.0
0.6 0.4–0.8 Administrative procedure
134 1,493
6.0 0.5 0.3–0.6
0.3 0.2–0.4 Excisionremoval
tissuebiopsydestruction debridementcauterisation
79 1,122
4.5 0.3 0.2–0.4
0.3 0.2–0.3 Repairfixation -
suturecastprosthetic device applyremove
66 1,002
4.0 0.3 0.2–0.4
0.2 0.1–0.3 Contraception procedure
57 724
2.9 0.2 0.1–0.3
0.2 0.1–0.2 Incisiondrainageflushing
aspirationremoval body fluid
52 722
2.9 0.2 0.1–0.3
0.2 0.1–0.2 Medical examination
completepartial 93
637 2.5
0.2 0.1–0.3 0.1 0.1–0.2
Physical medicinerehabilitation
35 425
1.7 0.1 0.1–0.2
0.1 0.0–0.1
Total 1,891
25,001 100.0
7.7 6.8–8.6 5.7 5.0–6.5
Comprise multiple ICPC-2 codes see Appendix 4
•
• •
109
•
•
977 27.9
2.1 8
1.6 345
21.4 1.6
9 1.2
601 10.4
0.8 0.6
493 6.0
0.5 6
0.3
724 2.9
0.2 3
0.2 ng
637 2.5
0.2 3
0.1 425
1.7 0.1
2 0.1
001 100.0
7.7 6
5.7
Chapter 11 : AdviceCounselling and Procedures
11.5 MOST COMMON PROCEDURES PERFORMED IN PUBLIC AND PRIVATE CLINICS
• In public clinics, a total of 6,550 encounters 5.0 had at least one procedure performed. Dressingpressurecompressiontamponade was the most frequently performed procedure, recorded
at a rate of 1.1 per 100 encounters Figure 11.5.1. • The same procedure was performed at rate of 2.0 per 100 encounters in private clinics
Figure 11.5.2, second to injectioninfiltration 3.0 per 100 encounters. • Immunisation was provided at similar rates in public and private clinics 0.7 versus 0.9 per
100 encounters, respectively.
Figure 11.5.1: Ten most common procedures performed in public clinics in 2014
Comprise multiple ICPC-2 codes see Appendix 4
0.1 0.2
0.2 0.3
0.3 0.7
0.8 0.9
0.9 1.1
0.0 0.5 1.0 1.5 2.0 2.5 3.0 3.5 4.0 4.5 Physical medicinerehabilitation
Incisiondrainageflushingaspirationremoval body fluid
Contraception procedure Repairfixation - suturecastprosthetic device
applyremove Medical examination completepartial
Immunisation Administrative procedure
Other therapeutic medicationprocedures minor surgery
Injectioninfiltration Dressingpressurecompressiontamponade
Rate per 100 encounters