NUMBER OF DIAGNOSES PER ENCOUNTER DIAGNOSES BY ICPC-2 COMPONENT

✁ ✂ ✄ ☎ ✁ ✆ ✝ ✞ ✟ ✄ ✠ ✁ ✆ ✠ ✁ ✡ ✞ ☛ ✂ ✁ ✂ ✄ ☛ ✂ ✄ ✠ ☛ ☞ ✌ ✍ ☞ ★ ✦ Table 7.4: Thirty most common diagnoses managed in private clinics in 2012 Diagnosis Number Percentage of all diagnoses n =120,067 Rate per 100 encounters n = 99,253 95 CI LCL UCL Upper respiratory infection, acute 25,796 21.5 26.0 25.7 26.3 Gastrointestinal infection 5,982 5.0 6.0 5.9 6.2 Hypertension - all 5,332 4.4 5.4 5.2 5.5 Hypertension 5,267 4.4 5.3 5.2 5.4 Hypertension in pregnancy 65 0.1 0.1 0.1 0.1 Medical examination - general 4,370 3.6 4.4 4.3 4.5 Musculoskeletal symptomcomplaint 3,890 3.2 3.9 3.8 4.0 Fever 3,765 3.1 3.8 3.7 3.9 Stomach function disorder 3,368 2.8 3.4 3.3 3.5 Diabetes - all 3,065 2.6 3.1 3.0 3.2 Diabetes, non-insulin dependent 2,817 2.3 2.8 2.7 2.9 Diabetes, insulin dependent 248 0.2 0.3 0.2 0.3 Asthma 2,761 2.3 2.8 2.7 2.9 Headache 2,532 2.1 2.6 2.5 2.7 Back problems 2,501 2.1 2.5 2.4 2.6 Lipid disorder 2,404 2.0 2.4 2.3 2.5 Conjunctivitis 2,290 1.9 2.3 2.2 2.4 Dermatitis 2,224 1.9 2.2 2.2 2.3 Tonsillitis 1,999 1.7 2.0 1.9 2.1 Cough 1,593 1.3 1.6 1.5 1.7 Menstrual problems 1,556 1.3 1.6

1.5 1.6

Abdominal pain 1,555 1.3 1.6

1.5 1.6

Immunisationvaccination - all 1,539 1.3 1.6

1.5 1.6

Vertigodizziness 1,468 1.2 1.5 1.4 1.6 Arthritis - all 1,393 1.2 1.4 1.3 1.5 Osteoarthritis 928 0.8 0.9

0.9 1.0

Cystitisurinary infection, other 1,376 1.1 1.4 1.3 1.5 Diarrhoea 1,374 1.1 1.4 1.3 1.5 Medical examination - pregnancy 1,320 1.1 1.3 1.3 1.4 Infectious disease, otherNOS 1,072 0.9 1.1 1.0 1.1 Migraine 1,068 0.9 1.1 1.0 1.1 Acute bronchitisbronchiolitis 1,050 0.9 1.1 1.0 1.1 LVHDVHFRQGLWLRQRIXQVSHFLÀHGQDWXUH site 956 0.8 1.0 0.9 1.0 Gout 899 0.7 0.9 0.8 1.0 Dermatophytosis 881 0.7 0.9 0.8 0.9 Multiple ICPC-2 codes see Appendix 2 1RWH6WRPDFKIXQFWLRQGLVRUGHU JDVWULWLVGLVHDVHFRQGLWLRQRIXQVSHFLÀHGQDWXUHVLWH QRDSSDUHQWGLDJQRVLV Chapter 8 Medications ✁ ✂ ✄ ☎ ✁ ✆ ✝ ✞ ✟ ✄ ✠ ✁ ✆ ✠ ✁ ✡ ✞ ☛ ✂ ✁ ✂ ✄ ☛ ✂ ✄ ✠ ☛ ☞ ✌ ✍ ☞ ✩ ✧

CHAPTER 8: MEDICATIONS

This chapter describes the medications prescribed in primary care. For each encounter, doctors could record up to four medications per diagnosis, with maximum of 24 medications per encounter. The doctors were asked to record the medications in generic or brand name, including the dosage form, route of administration, dose, frequency, duration of therapy and total quantity. Overall results combining total medications from public and private clinics were presented by ATC level 1, 3 and 5. Comparison of the most frequently prescribed medications between public and private clinics were reported at ATC level 5 or equivalent.

8.1 NUMBER OF MEDICATIONS PRESCRIBED PER ENCOUNTER

The distributions of primary care encounters with and without medications are presented in Table 8.1. Table 8.1 Number of encounters for which medication was prescribed Variable Overall, n Public, n Private, n Encounters without medication 16,168 11.4 6,511 15.4 9,657 9.7 Encounters with medication 125,425 88.6 35,829 84.6 89,596 90.3 A total of 479,856 medications were recorded; 223,977 medications 46.7 from public clinics and 255,878 medications 53.3 from private clinics. Figure 8.1 shows the number of medications prescribed per encounter in public and private clinics. ‡ 1RPHGLFDWLRQQLOZDVJLYHQIRURIHQFRXQWHUVLQSXEOLFFOLQLFVDQGRIHQFRXQWHUVLQ private clinics. This group of patients mainly came for medical examination or health screening and presented with no underlying disease. ‡ 0HGLFDWLRQVZHUHSUHVFULEHGLQDUDQJHRIRQHWRWKUHHSHUHQFRXQWHUVIRUDSSUR[LPDWHO\RI total encounters in both sectors. ‡ 0D[LPXPQXPEHURIPHGLFDWLRQVSUHVFULEHGSHUHQFRXQWHUZDVSXEOLFFOLQLFDQGQLQHSULYDWH clinic. Figure 8.1: Number of medications prescribed per encounter in primary care clinics in 2012 Number of medications prescribed per encounter Nil One Two Three Four Public 15.4 20.0 20.0 18.7 25.0 Private 9.7 15.0 20.6 27.2 27.5 P e rc e nt o f e nc o u nt e rs 5 10 15 20 25 30