Table 7. Twenty leading principal reasons for outpatient department visits: the United States, 2009 All visits ... 96,132  Progress visit, not otherwise specified:9,052  General medical examination:  5,762  Cough:  2,638  Counseling, not otherwise specified: 2,550 Prenatal examination, routine: 2,410  Medication, other and unspecified kinds: 2,282  Symptoms referable to throat: 1,773  Back symptoms :  1,630  Postoperative visit:  1,593  Diabetes mellitus :  1,568  Fever: 1,341  Knee symptoms:  1,331  Earache or ear infection: 1,326  Stomach pain, cramps and spasms:  1,231  Well-baby examination: 1,198  Headache, pain in head: 1,091  Low back symptoms: *1,078  Hypertension:  1,078  Skin rash: 1,053 Gynecological examination: 1,032  All other reasons ... 53,115  Table 9. Twenty leading principal reasons for office visits, by patient’s sex: the United States, 2018 The principal reason for the visit  All visits . . . . .860,386 (37,935)  Progress visit, not otherwise specified . . . 151,669 General medical examination . . . . . . . . . . .54,456  Postoperative visit . . . . . . . . . . . . . . . . . . .  *26,785  For other and unspecified test results . . .  *19,637  Prenatal examination, routine . . . . . . . . . . . 19,380  Knee symptoms . . . . . . . . . . . . . . . . . . . . . . . 18,666  Cough . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18,469  Medication, other and unspecified kinds . .  16,824  Hypertension . . . . . . . . . . . . . . . . . . . . . . . . . . 16,466  Counseling, not otherwise specified . . . . . .  15,448  Gynecological examination . . . . . . . . . . . . . . 11,494  Symptoms referable to throat . . . . . . . . . . . . 11,066  Preoperative visit for specified and unspecified types of surgery . . *10,836  Disturbances of sleep . . . . . . . . . . . . . . . . . . *10,672  Well-baby examination . . . . . . . . . . . . . . . . . 10,530 Anxiety and nervousness . . . . . . . . . . . . . . . 10,154 Diabetes mellitus . . . . . . . . . . . . . . . . . . . . . . 9,866  Stomach and abdominal pain, cramps and spasms . . 9,460  Diagnosed complications of pregnency and puerperium ... 9,391  Vision dysfunctions . . . . . . . . . . . . . . . . . . . . .8,634  All other reasons . . . . . . . . . . . . . . . . . . . . . . .400,481 1. Discuss some of the reasons for the rapid growth of ambulatory services.  2. What difference in care and number of patients are there between  2009 and 2018 ambulatory care visits? Discuss some of the reasons?

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Table 7. Twenty leading principal reasons for outpatient department visits: the United States, 2009

All visits ... 96,132 
Progress visit, not otherwise specified:9,052 
General medical examination:  5,762 
Cough:  2,638 
Counseling, not otherwise specified: 2,550
Prenatal examination, routine: 2,410 
Medication, other and unspecified kinds: 2,282 
Symptoms referable to throat: 1,773 
Back symptoms :  1,630 
Postoperative visit:  1,593 
Diabetes mellitus :  1,568 
Fever: 1,341 
Knee symptoms:  1,331 
Earache or ear infection: 1,326 
Stomach pain, cramps and spasms:  1,231 
Well-baby examination: 1,198 
Headache, pain in head: 1,091 
Low back symptoms: *1,078 
Hypertension:  1,078 
Skin rash: 1,053

Gynecological examination: 1,032 
All other reasons ... 53,115 

Table 9. Twenty leading principal reasons for office visits, by patient’s sex: the United States, 2018
The principal reason for the visit 
All visits . . . . .860,386 (37,935) 
Progress visit, not otherwise specified . . . 151,669
General medical examination . . . . . . . . . . .54,456 
Postoperative visit . . . . . . . . . . . . . . . . . . .  *26,785 
For other and unspecified test results . . .  *19,637 
Prenatal examination, routine . . . . . . . . . . . 19,380 
Knee symptoms . . . . . . . . . . . . . . . . . . . . . . . 18,666 
Cough . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18,469 
Medication, other and unspecified kinds . .  16,824 
Hypertension . . . . . . . . . . . . . . . . . . . . . . . . . . 16,466 
Counseling, not otherwise specified . . . . . .  15,448 
Gynecological examination . . . . . . . . . . . . . . 11,494 
Symptoms referable to throat . . . . . . . . . . . . 11,066 
Preoperative visit for specified and unspecified types of surgery . . *10,836 
Disturbances of sleep . . . . . . . . . . . . . . . . . . *10,672 
Well-baby examination . . . . . . . . . . . . . . . . . 10,530
Anxiety and nervousness . . . . . . . . . . . . . . . 10,154
Diabetes mellitus . . . . . . . . . . . . . . . . . . . . . . 9,866 
Stomach and abdominal pain, cramps and spasms . . 9,460 
Diagnosed complications of pregnency and puerperium ... 9,391 
Vision dysfunctions . . . . . . . . . . . . . . . . . . . . .8,634 
All other reasons . . . . . . . . . . . . . . . . . . . . . . .400,481

1. Discuss some of the reasons for the rapid growth of ambulatory services. 

2. What difference in care and number of patients are there between  2009 and 2018 ambulatory care visits? Discuss some of the reasons? 

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