Abstract
Background: Conventional epidemiologic data suggest that diabetic patients use more health care resources than nondiabetic patients, yet overall health care use by diabetic individuals has never been fully quantitated. We took a new approach to this issue based on the actual economics of the provision of health care to diabetic insured individuals. Methods: The claims records in the Mutual of Omaha Current Trends database, which contains information on more than 400 000 individuals, were surveyed to identify patients with diabetes and create the contrast population of nondiabetic patients by exclusion. International Classification of Diseases, Ninth Revision, Clinical Modification, codes and Physicians’ Current Procedural Terminology, Fourth Edition, codes were used to determine all diagnoses recorded and all physician services rendered to the contrast populations. Age- and sex-adjusted comparisons were performed using Mantel-Haenszel procedures to determine an adjusted odds ratio (AOR). Results: A total of 13 304 diabetic individuals and 388 053 nondiabetic individuals who received health care services from January 1, 1988, to January 1, 1989, were identified. Diabetic insured individuals constituted 3.1% of the overall insured population yet accounted for 8.3% of the charges (P
| Original language | English |
|---|---|
| Pages (from-to) | 1360-1366 |
| Number of pages | 7 |
| Journal | Archives of Internal Medicine |
| Volume | 153 |
| Issue number | 11 |
| DOIs | |
| State | Published - Jun 14 1993 |
| Externally published | Yes |
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All Science Journal Classification (ASJC) codes
- Internal Medicine
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The Health Care Status of the Diabetic Population as Reflected by Physician Claims to a Major Insurer. / Rendell, Marc; Kimmel, Donald B.; Bamisedun, Ola; O’donnell, E. Terrence; Fulmer, John.
In: Archives of Internal Medicine, Vol. 153, No. 11, 14.06.1993, p. 1360-1366.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - The Health Care Status of the Diabetic Population as Reflected by Physician Claims to a Major Insurer
AU - Rendell, Marc
AU - Kimmel, Donald B.
AU - Bamisedun, Ola
AU - O’donnell, E. Terrence
AU - Fulmer, John
PY - 1993/6/14
Y1 - 1993/6/14
N2 - Background: Conventional epidemiologic data suggest that diabetic patients use more health care resources than nondiabetic patients, yet overall health care use by diabetic individuals has never been fully quantitated. We took a new approach to this issue based on the actual economics of the provision of health care to diabetic insured individuals. Methods: The claims records in the Mutual of Omaha Current Trends database, which contains information on more than 400 000 individuals, were surveyed to identify patients with diabetes and create the contrast population of nondiabetic patients by exclusion. International Classification of Diseases, Ninth Revision, Clinical Modification, codes and Physicians’ Current Procedural Terminology, Fourth Edition, codes were used to determine all diagnoses recorded and all physician services rendered to the contrast populations. Age- and sex-adjusted comparisons were performed using Mantel-Haenszel procedures to determine an adjusted odds ratio (AOR). Results: A total of 13 304 diabetic individuals and 388 053 nondiabetic individuals who received health care services from January 1, 1988, to January 1, 1989, were identified. Diabetic insured individuals constituted 3.1% of the overall insured population yet accounted for 8.3% of the charges (P
AB - Background: Conventional epidemiologic data suggest that diabetic patients use more health care resources than nondiabetic patients, yet overall health care use by diabetic individuals has never been fully quantitated. We took a new approach to this issue based on the actual economics of the provision of health care to diabetic insured individuals. Methods: The claims records in the Mutual of Omaha Current Trends database, which contains information on more than 400 000 individuals, were surveyed to identify patients with diabetes and create the contrast population of nondiabetic patients by exclusion. International Classification of Diseases, Ninth Revision, Clinical Modification, codes and Physicians’ Current Procedural Terminology, Fourth Edition, codes were used to determine all diagnoses recorded and all physician services rendered to the contrast populations. Age- and sex-adjusted comparisons were performed using Mantel-Haenszel procedures to determine an adjusted odds ratio (AOR). Results: A total of 13 304 diabetic individuals and 388 053 nondiabetic individuals who received health care services from January 1, 1988, to January 1, 1989, were identified. Diabetic insured individuals constituted 3.1% of the overall insured population yet accounted for 8.3% of the charges (P
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U2 - 10.1001/archinte.1993.00410110062010
DO - 10.1001/archinte.1993.00410110062010
M3 - Article
VL - 153
SP - 1360
EP - 1366
JO - JAMA Internal Medicine
JF - JAMA Internal Medicine
SN - 2168-6106
IS - 11
ER -