To examine the relationship between insurance coverage and the diagnostic content of residents'experience in a hospital-based pediatric teaching clinic, we analyzed outpatient problem lists for 6543 patients seen in our clinic over a 15-month period.
Problem-list contents were categorized using diagnostic clusters.
The frequency distribution of clustered problems was compared for patients with four types of insurance coverage: indemnity insurance, health maintenance organization, Medicaid, and no insurance.
The four insurance categories differed in the overall distribution of problems, but the differences could not be attributed to a disparity in the frequency of any single diagnosis or diagnostic cluster.
We conclude that there was no important effect of insurance coverage on the diagnostic content of resident's experience in a teaching clinic.
Mots-clés Pascal : Pédiatrie, Pratique professionnelle, Etudiant, Formation, Consultation hospitalière, Etats Unis, Amérique du Nord, Amérique, Qualité, Homme, Diagnostic, Assurance maladie, Enseignement
Mots-clés Pascal anglais : Pediatrics, Professional practice, Student, Formation, Hospital consultation, United States, North America, America, Quality, Human, Diagnosis, Health insurance, Teaching
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Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 93-0368007
Code Inist : 002B30A09. Création : 199406.