Wilton R, Pennisi A J
Department of Pediatrics, UCLA.
Am J Dis Child. 1993 Mar;147(3):284-9. doi: 10.1001/archpedi.1993.02160270046016.
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.
为研究保险覆盖范围与医院儿科教学门诊中居民就医诊断内容之间的关系，我们分析了在15个月期间于本门诊就诊的6543例患者的门诊问题清单。问题清单内容根据诊断类别进行分类。比较了四种保险覆盖类型患者的聚类问题频率分布：赔偿保险、健康维护组织、医疗补助和无保险。这四种保险类别在问题的总体分布上存在差异，但这些差异不能归因于任何单一诊断或诊断类别的频率差异。我们得出结论，保险覆盖范围对教学门诊中居民就医的诊断内容没有重要影响。
