DIAGNOSES WITH INVESTIGATIONS ORDERED 1.2

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