74
National Medical Care Statistics 2014
Tabl 3.1 continued: Diagnosis by ICPC-2 chapters and the most common individual
diagnoses within each chapter in NMCS 2014
Diagnosis ICPC-2 chapter
nweighted count
Weighted count
Percent total
diagnoses n
743 Rate per 100
encounters 95
CI n
+, - . -
Skin 2,225
27,
, -5
6.3
-
.5 7.7 9.2
Dermatitis
1
585 7,298
1.7 2.2 1.9–2.6
Dermatitis, contactallergic 560
7,070 1.6
2.2 1.8–2.5 Dermatitis, atopic eczema
18 155
0.0 0.1 0.0–0.1
Injury skin - a
3 3 1
226 3,018
0.7 0.9 0.7–1.2
Urticaria 165
2,951 0.7
0.9 0.5–1.4
Pregnancy, childbearing, amily
planning 1,916
. -
213 4.2
5.6 4.6 6.6
Medical examination - pregnancy
1
990 9,458
2.2 2.9 2.3–3.6
Neurological 996
14,103 3.2
4.3 3.7 4.9
Headache - a
33 1
627 9,097
2.1 2.8 2.4–3.2
Headache 351
5,106 1.2
1.6 1.2–1.9 Migraine
187 2,878
0.7 0.9 0.7–1.1
V
ertigodizziness 208
3,036 0.7
0.9 0.7–1.2
Eye
, -
5,
9 - .
1.4 1
4 -
1.6 2.0
Conjunctivitis
1
310 3,343
0.8 1.0 0.9–1.2
rological
-
5,969 1.4
1
4 -
1.6 2.1
Urinary tract infection
1
302 3,729
0.9 1.1 0.9–1.3
Female genital
--
5,114 1.2
1.6 1.3 1.
-
Menstrual problems
1
207 2,929
0.7 0.9 0.7–1.1
Psychological 363
4,674 1.1
1.4 0.9 1.9
Ear 269
3,389 0.8
1.0 0.9–1.2
Blood, blood orming organs
6
immune mechanism 210
2,226 0.5
0.7 0.5 0.
-
Male genital 57
-
0.2 0.2 0.1
0.3 Social problems
15 135
0.0 0.0 0.0
0.1 Total
-
151 436,743
100.0 134.0 130.6
137.5
7
Comprise multiple ICPC-2 codes see Appendix 4
The range and frequency of diagnoses managed in primary care have been studied internationally, and similar patterns were observed across countries. The 10 most commonly managed problems in general
practice in Australia were hypertension, immunisation, upper respiratory tract infection, depression, diabetes, lipid disorder, general check-up, osteoarthritis, back complaint and prescription request.
2
Closer to home, the top primary diagnoses seen in primary care clinics in Singapore were upper respiratory infection 13, essential hypertension 7, type 2 diabetes mellitus 6 and
hyperlipidaemia 5.
3
• •
• •
• •
•
•
75
.5
298 2.2
070 2.2
155 0.1
018 0.9
951 0.9
ly 213
5.6
458 2.9
103 4.3
097 2.8
106 1.6
878 0.9
036 0.9
1
343 1.0
969 1
729 1.1
114 1.6
929 0.9
674 1.4
389 1.0
226 0.7
0.2 135
0.0 743
134.0 5
Chapter 8 : Diagnoses
:
.4 MOST COMMON DIAGNOSES MANAGED IN P
;
LIC AND PRIVATE CLINICS
Significant differences were observed in the types of problems most commonly managed in the public and private spheres of Malaysia’s two-tier health system. Table 8.4.1 and Table 8.4.2 list the top 30
diagnoses in descending order of frequency for public and private clinics, respectively, reflecting the general morbidity pattern among primary care patients in 2014.
Public clinics
The top three diseases managed in the public sector were all chronic diseases. Together, they accounted for 50.8 of all diagnoses managed in government health clinics Table 8.4.1.
• Hypertension, which was reported at a rate of 33.1 diagnoses per 100 encounters, accounted for 21.4 of all diagnoses.
• The second most frequent condition was diabetes, which accounted for 15.1 of all diagnoses, followed by lipid disorder at 14.3.
• Approximately one-sixth 15.6 of patients who sought treatment in public clinics were diagnosed with an upper respiratory tract infections 10.1 of all diagnoses.
• Antenatal check-ups accounted for 3.9 of all diagnoses and ranked fifth among the top diagnoses managed in public primary care clinics.
Private clinics
Table 8.4.2 lists the 30 most frequently managed diagnoses in private clinics in 2014. Together, these diagnoses accounted for approximately two-thirds 76.0 of all diagnoses in private clinics; the top 10
diagnoses amounted to 52.9 of all diagnoses. • More than one-quarter 27.2 of patients seeking treatment in private clinics were diagnosed with
an upper respiratory tract infection, which accounted for 22.7 of all diagnoses. • Hypertension is the second most common condition managed in private clinics, occurring at rate of
6.5 diagnoses per 100 encounters 5.4 of all diagnoses. • Ranking third to fifth among the top diagnoses in private clinics were acute conditions
gastroenteritis 4.5 of all diagnoses, musculoskeletal symptomscomplaints 3.7 and fever 3.2
which accounted for 28.7 of the top five diagnoses. • Diabetes and lipid disorders, which were the second and third most common diagnoses in public
clinics, accounted for only 2.5 and 2.4 of all diagnoses managed in private clinics, respectively.
