title: Patterns of health service utilization at a medical school clinic in Ghana.
abstract: BACKGROUND
  The University of Ghana Medical School (UGMS) Clinic provides healthcare service which is free at point of service to students, staff, retired staff and dependents of staff of the College of Health Sciences. However, since 1983, no in-depth review of health service provision or utilization has been undertaken. This study reviewed client characteristics, utilization and disease patterns at the clinic and also compared the disease patterns to that of other primary health facilities nationwide.
  
  
  METHODS
  This was an analytical cross-sectional study undertaken at the UGMS clinic in Korle-Bu. It was a retrospective review of records of all clients attending the facility from January 2002 to December, 2004.
  
  
  RESULTS
  More males than females attended the clinic and majority (63.9%) of clients were between 15-44 years (median age was 26 years). Dependents of staff constituted the highest attendants (41%) to the clinic. Among staff, junior staffs were in the majority. Malaria, respiratory tract infection and musculoskeletal pain were the most common conditions seen. Overall, 83% of clients were treated and discharged per visit without the need for review visits.
  
  
  CONCLUSIONS
  Dependents of staff used the facility the most and they live in many different part of the city of Accra, and to ask them to attend the clinic for care is not efficient. It will be better to provide or supplement their securing of insurance so that they could access health care close to their homes and save time and attention to students and staff.
authors: Department of Community Health, University of Ghana Medical School, College of Health Sciences, Korle-Bu, Accra, Ghana. aeyawson@yahoo.com
authors: A E
authors: AE
authors: Yawson
authors: K L
authors: KL
authors: Malm
authors: A A
authors: AA
authors: Adu
authors: G-M
authors: GM
authors: Wontumi
authors: R B
authors: RB
authors: Biritwum
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D003430:Cross-Sectional Studies; D005180:Faculty, Medical / Q000706:statistics & numerical data; D005190:Family; D005260:Female; D005869:Ghana / Q000453:epidemiology; D006801:Humans; D007223:Infant; D008288:Malaria / Q000453:epidemiology*; D008297:Male; D008875:Middle Aged; D059352:Musculoskeletal Pain / Q000453:epidemiology*; D010045:Outpatients / Q000706:statistics & numerical data; D012141:Respiratory Tract Infections / Q000453:epidemiology*; D012189:Retrospective Studies; D012577:Schools, Medical; D013333:Student Health Services / Q000706:statistics & numerical data*; D013337:Students, Medical / Q000706:statistics & numerical data; D055815:Young Adult
keywords: Ghana; University Health facility; clinic attendance; disease patterns
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