Variations in content of care in a family medicine residency relating to types of insurance coverage.
The content of care in a family practice residency program was analyzed using a microcomputer information system. The distribution of recorded diagnoses in the training program was found to be very similar to results of two national studies of family medicine. Despite this overall similarity, important differences were found when distributions for patients with six types of insurance coverages were analyzed separately. This study demonstrates the potential effect of insurance coverage on the clinical content of family medicine. As the health care system changes, residency programs will need to remain adaptable to maintain patient bases reflecting the broad content of family medicine.
Johnson
R A
RA
Division of Family Medicine, University of California, Los Angeles 90024-1683.
Murata
P J
PJ
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002675:Child, Preschool; D019411:Clinical Laboratory Techniques / Q000706:statistics & numerical data; D011307:Drug Prescriptions; D005194:Family Practice / Q000193:education / Q000706:statistics & numerical data; D005260:Female; D006279:Health Maintenance Organizations; D006801:Humans; D007223:Infant; D007348:Insurance, Health; D007396:Internship and Residency; D008297:Male; D008484:Medicaid; D006278:Medicare; D008875:Middle Aged; D010044:Outpatient Clinics, Hospital / Q000706:statistics & numerical data; D011243:Preferred Provider Organizations