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March 1993

Insurance Coverage and Residents' Experience in a Pediatric Teaching Clinic

Author Affiliations

From the Department of Pediatrics, UCLA, Los Angeles.

Am J Dis Child. 1993;147(3):284-289. 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.

(AJDC. 1993;147:284-289)