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Some studies using ICPC in European French-speaking countries

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  1. Some studies using ICPC in European French-speaking countries Laurent Letrilliart, MD, PhD Wonca International Classification Committee

  2. ICPC: a new epidemiological tool in the French-speaking countries • Search in Medline database • Key word in Title/abstract: • ‘ICPC’ 130 • ‘ICPC’, and language=‘French’ 2 • ‘CISP’ 2 • Relevant papers retrieved 3 • Personal contacts • In France, Switzerland, and Belgium • Additional papers retrieved 5

  3. Patients calling on doctors on duty (Humbert, Rev Prat Med Gen, 1999) • Design and setting • Cross-sectional study • Community on call service, including 11 GPs from a French semi-rural area, 1992-3 • Most frequent problems diagnosed (n = 979) • Stress (P02/16/74/75/76/77/99-D93) 21.0 % • Minor surgery (S18/54/56) 17.8 % • Digestive disorder (D73/87/88/98/99) 14.9 % • Respiratory disorder (R78/83/96/99) 9.0 %

  4. Patients attending a polyclinic(Pult, Med Hyg, 1999) • Design and setting • Cross-sectional study • General internal medicine polyclinic, Geneva university hospital, 1995 • 1.2 reasons for encounter per consult. (n= 2078) • Low back symptom/complaint (L03) 8 % • Influenza (R80) 7 % • Cough (R05) 6 % • Headache (N01) 5 %

  5. Reasons for encounter (n=2078 patients) 11% 15% 27% 22%

  6. Patients referred to hospital(Letrilliart, Infect Control Hosp Epidemiol, 2001) • Design and setting • Prospective cohort study • 305 GPs from the French Sentinel system, 1997-9 • 1.5 problems per referral (n=7313) • Abdominal pain (D01) 4.1 % • Trauma (A80) 3.8 % • Heart failure (K77) 3.6 % • Appendicitis (D88) 2.8 %

  7. Reasons for referral (n=7313 patients) 14% 21% 18% 9%

  8. Homeless people in hostel(Le mauff, Rev Prat Med Gen, 2003) • Design and setting • Cross-sectional study • Consultation by 2 GPs in 2 hostels for homeless people in Vendée (France), 2001-2 • 1.9 problems diagnosed per consult. (n=605) • Feeling anxious/nervous (P01) 5.6 % • Sleep disturbance (P06) 5.1 % • Social welfare problem (Z08) 4.0 % • Chronic alcohol abuse (P15) 3.9 %

  9. Problems diagnosed (n=605 patients) 13% 24% 11% 12%

  10. Primary care in jail(Feron, J Epidemiol Community Health, 2005) • Design and setting • Retrospective cohort study • From a sample of 513 records (15 %) of discharged prisoners (Belgium), 2001-2 • Most frequent problems (n=182 patient-years) • Drug misuse (P19) 22.1 % • Chronic alcohol misuse (P15) 4.8 % • Viral hepatitis (D72) 4.3 % • Asthma (R96) 3.9 %

  11. Reasons for encounter (n=182 patient-years) 12% 14% 13% 22%

  12. ICPC: a tool fitting the various features of primary care epidemiology • Settings • Community, hospital, out-of-hours services • Specific populations (disadvantaged…) • Fields • Somatic problems • Psychological or social problems • Perspectives • Problems diagnosed, episodes of care • Reasons for contact, interventions