TY - JOUR
T1 - Comparison between the International Classification of Primary Care and the International Classification of Diseases Classifications in Primary Care in Korea
AU - Cho, Mi Ra
AU - Kwon, Yu Jin
AU - Kim, Shin Hye
AU - Hwang, Jinseub
AU - Kim, Jimin
AU - Yang, Jangmi
AU - Ahn, Jeonghoon
AU - Shim, Jae Yong
N1 - Funding Information:
This study was conducted at primary care clinics in the Seoul and Gyeonggi from October 2015 to November 2015. This study was conducted as part of a public research project supported by the National Evidence-based Healthcare Collaborating Agency (NECA). Informed consent was obtained from all the participants. The study was approved by the Institutional Review Board of NECA (IRB approval no., 15-022).
Publisher Copyright:
© 2022 The Korean Academy of Family Medicine This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
PY - 2022
Y1 - 2022
N2 - Background: The International Classification of Primary Care-2 (ICPC-2) is a classification method designed for primary care. Although previous studies have found that ICPC-2 is a useful tool for demonstrating the relationship between patients’ expectations and health providers’ diagnoses, its utility of ICPC-2 has yet to be fully studied in Korea. This study aimed to evaluate the practicality of ICPC-2 in Korean primary care. Methods: The study was conducted at primary care clinics in Seoul and Gyeonggi areas from October to November 2015. Third-year family medicine residents examined and analyzed the medical records of patients who visited primary care physicians using ICPC-2, and the results were compared with those obtained using the International Classification of Diseases-10 (ICD-10) (Korean version: Korean Standard Classification of Diseases-7). Results: A total of 26 primary care physicians from 23 primary care clinics participated in the study. Furthermore, 2,458 ICD-10 codes and 6,091 ICPC-2 codes were recorded from the data of 1,099 patients. The common disease codes were vasomotor and allergic rhinitis (J30), according to ICD-10, and acute upper respiratory infection (R74) in ICPC-2. Comparing disease status by body systems, the proportion of gastrointestinal disease with ICD-10 codes was significantly higher than that with ICPC-2 codes (P<0.001). Furthermore, patients with >4 diagnoses accounted for 36% of the ICD-10 classifications, whereas those with >4 diagnoses accounted for 4% of the ICPC-2 classifications. Conclusion: Introducing ICPC as a complementary means for diagnosing common diseases could be a practical approach in Korean primary care.
AB - Background: The International Classification of Primary Care-2 (ICPC-2) is a classification method designed for primary care. Although previous studies have found that ICPC-2 is a useful tool for demonstrating the relationship between patients’ expectations and health providers’ diagnoses, its utility of ICPC-2 has yet to be fully studied in Korea. This study aimed to evaluate the practicality of ICPC-2 in Korean primary care. Methods: The study was conducted at primary care clinics in Seoul and Gyeonggi areas from October to November 2015. Third-year family medicine residents examined and analyzed the medical records of patients who visited primary care physicians using ICPC-2, and the results were compared with those obtained using the International Classification of Diseases-10 (ICD-10) (Korean version: Korean Standard Classification of Diseases-7). Results: A total of 26 primary care physicians from 23 primary care clinics participated in the study. Furthermore, 2,458 ICD-10 codes and 6,091 ICPC-2 codes were recorded from the data of 1,099 patients. The common disease codes were vasomotor and allergic rhinitis (J30), according to ICD-10, and acute upper respiratory infection (R74) in ICPC-2. Comparing disease status by body systems, the proportion of gastrointestinal disease with ICD-10 codes was significantly higher than that with ICPC-2 codes (P<0.001). Furthermore, patients with >4 diagnoses accounted for 36% of the ICD-10 classifications, whereas those with >4 diagnoses accounted for 4% of the ICPC-2 classifications. Conclusion: Introducing ICPC as a complementary means for diagnosing common diseases could be a practical approach in Korean primary care.
KW - International classification of diseases
KW - International classification of primary care
KW - Korea
KW - Primary health care
UR - http://www.scopus.com/inward/record.url?scp=85138664875&partnerID=8YFLogxK
U2 - 10.4082/kjfm.22.0119
DO - 10.4082/kjfm.22.0119
M3 - Article
AN - SCOPUS:85138664875
SN - 2005-6443
VL - 43
SP - 305
EP - 311
JO - Korean Journal of Family Medicine
JF - Korean Journal of Family Medicine
IS - 5
ER -