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Insurance Coverage and Residents' Experience in a Pediatric Teaching Clinic
Richard Wilton, MD;
Alfred J. Pennisi, MD
Am J Dis Child. 1993;147(3):284-289.
Abstract
• 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 residents' experience in a teaching clinic.
(AJDC. 1993;147:284-289)
Author Affiliations
From the Department of Pediatrics, UCLA, Los Angeles.
Footnotes
Accepted for publication September 22, 1992.
Reprint requests to 10833 Le Conte Ave, 12-321 MDCC, Los Angeles, CA 90024-1752 (Dr Wilton).
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