Rahman Sajitha M F, Angeline Ruby P, Cynthia Sharon, David Kirubah, Christopher Prince, Sankarapandian Venkatesan, Kumar Yashvanth
Department of Family Medicine, CMC, Vellore, Tamil Nadu, India.
Department of Community Medicine, CMC, Vellore, Tamil Nadu, India.
J Family Med Prim Care. 2014 Oct-Dec;3(4):362-7. doi: 10.4103/2249-4863.148111.
India is in the process of transition to universal health coverage for Indian citizens. The focus is to strengthen the primary and secondary level services. Coupled with this national scenario, the development of Family medicine as a distinct discipline is in a crucial stage. There is a nation-wide urge to build family medicine training units and service centers across the country to fulfill the unmet health needs of the population.
This study aimed to bring out reasons for encounter (RFE) and morbidity pattern of patients seen in a family physician run urban health center in South India.
The study was conducted in an urban health center of a tertiary care hospital. Clinicians entered the data using International Classification of Primary Care (ICPC) codes. Data included were demographics, 3 RFE, 3 diagnoses, 3 outcomes of care that include prescriptions, investigations, procedures, and referrals made.
During 47,590 patient encounters, 59,647 RFE, 62,283 diagnoses and 68269 outcomes of care were recorded. The majority of RFEs and diagnoses are in the following ICPC chapters: Endocrinology (38.6%), cardiovascular (35.91%), respiratory (20.26%), digestive (7.68% and musculo-skeletal (6.8%). The most frequent outcome of care was prescriptions, followed by counseling and nebulization.
This study is the first to report on the RFE in India. This study demonstrated the breadth of clinical conditions seen by family physicians across all ages and in both genders. This study attempts to highlight the need for family physician based services as a training ground for trainees.
印度正在向为印度公民提供全民健康覆盖过渡。重点是加强初级和二级医疗服务。在此全国形势下，家庭医学作为一门独立学科的发展正处于关键阶段。全国都迫切需要在全国各地建立家庭医学培训单位和服务中心，以满足民众未得到满足的健康需求。
本研究旨在找出印度南部一家由家庭医生管理的城市健康中心患者的就诊原因（RFE）和发病模式。
该研究在一家三级医院的城市健康中心进行。临床医生使用国际初级保健分类（ICPC）编码输入数据。纳入的数据包括人口统计学信息、3个就诊原因、3个诊断、3个护理结果，其中护理结果包括处方、检查、操作和转诊。
在47590次患者就诊期间，记录了59647个就诊原因、62283个诊断和68269个护理结果。大多数就诊原因和诊断属于以下ICPC章节：内分泌学（38.6%）、心血管（35.91%）、呼吸系统（20.26%）、消化系统（7.68%）和肌肉骨骼系统（6.8%）。最常见的护理结果是处方，其次是咨询和雾化治疗。
本研究是印度首次报告就诊原因的研究。该研究展示了家庭医生所诊治的所有年龄段和性别的临床病症范围。本研究试图强调以家庭医生为基础的服务作为培训学员场所的必要性。
