Pérez-Perdomo Rosa, Pérez-Cardona Cynthia M, Disdier-Flores Orville M
Department of Biostatistics and Epidemiology, Graduate School of Public Health, Medical Sciences Campus, University of Puerto Rico, PO Box 365067, San Juan, Puerto Rico, 00936-5067.
P R Health Sci J. 2003 Dec;22(4):363-8.
To examine health disparities between diabetic patients receiving services in private and public health sectors.
Insureds with service claims for diabetes (ICD-9 250-259) from two private insurance companies and two public health groups were selected. Personnel of the participant insurance companies were responsible for identifying medical claims that met the study inclusion criteria and providing the information in a computerized database file.
Overall prevalence was 4.9%. Prevalence in the public sector (5.8%) was higher than that of the private sector (3.7%) (p < 0.0001). The overall prevalence among females of the public sector was nearly twice (6.3%) the prevalence in the private sector (3.3%) (p < 0.0001). The prevalence of the majority of services analyzed was larger in the public sector. However, prevalence of specific services (glucose and glycosilated hemoglobin tests) was larger in the private sector. Differences between sectors in the prevalence of complications were also observed. Prevalence and service utilization also varied by age and sex in both sectors.
Significant difference exists in the prevalence of diabetes and health service utilization between the private and the public sector.
研究在私立和公立卫生部门接受服务的糖尿病患者之间的健康差异。
从两家私立保险公司和两个公共卫生组织中选取有糖尿病服务索赔记录（国际疾病分类第九版编码250 - 259）的被保险人。参与的保险公司工作人员负责识别符合研究纳入标准的医疗索赔，并将信息提供到一个计算机化数据库文件中。
总体患病率为4.9%。公立部门的患病率（5.8%）高于私立部门（3.7%）（p < 0.0001）。公立部门女性的总体患病率（6.3%）几乎是私立部门（3.3%）的两倍（p < 0.0001）。分析的大多数服务的患病率在公立部门更高。然而，特定服务（血糖和糖化血红蛋白检测）的患病率在私立部门更高。两个部门在并发症患病率方面也存在差异。两个部门的患病率和服务利用率也因年龄和性别而异。
私立和公立部门在糖尿病患病率和卫生服务利用率方面存在显著差异。
