Health disparities between diabetic patients under private and public health coverage in Puerto Rico, 2000.
OBJECTIVE
To examine health disparities between diabetic patients receiving services in private and public health sectors.


METHODS
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.


RESULTS
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.


CONCLUSIONS
Significant difference exists in the prevalence of diabetes and health service utilization between the private and the public sector.
Pérez-Perdomo
Rosa
R
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. rperez@rcm.upr.edu
Pérez-Cardona
Cynthia M
CM
Disdier-Flores
Orville M
OM
D000293:Adolescent; D000328:Adult; D000368:Aged; D003695:Delivery of Health Care / Q000592:standards*; D003920:Diabetes Mellitus / Q000453:epidemiology / Q000628:therapy*; D005260:Female; D006296:Health Services / Q000706:statistics & numerical data; D006801:Humans; D007348:Insurance, Health / Q000706:statistics & numerical data*; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D017149:Private Sector / Q000706:statistics & numerical data*; D017150:Public Sector / Q000706:statistics & numerical data*; D011647:Puerto Rico / Q000453:epidemiology; D011787:Quality of Health Care / Q000592:standards*