Faculty Collaboration Database

Patients, diagnoses, and procedures in a military internal medicine clinic: comparison with civilian practices. Mil Med 1999 Mar;164(3):194-7

Date

03/26/1999

Pubmed ID

10091492

Scopus ID

2-s2.0-0345580640 (requires institutional sign-in at Scopus site)   43 Citations

Abstract

BACKGROUND: Our goal was to compare the demographic features, diagnoses, and procedures in civilian and military ambulatory internal medicine clinics.

METHODS: One year (September 1996 to August 1997) of data from the Ambulatory Data System of the Adult Primary Care Clinic at Madigan Army Medical Center was extracted and compared with the most recent (1995) National Ambulatory Medical Care Survey.

RESULTS: A total of 41,374 Madigan patient encounters were compared with civilian data from the National Ambulatory Medical Care Survey. The age distribution was similar, with military patients averaging 53.5 years of age and civilian patients averaging 54.5 years. Military patients were more likely to be female (71 vs. 60%) and were more ethnically diverse (military: 68% white, 17% African American, 7% Hispanic, 7% Asian American, and 1% Native American; civilian: 78% white, 10% African American, 6% Hispanic, 5.9% Asian American, and 0.3% Native American). There were similar rank orderings of the top 189 diagnostic groups seen in each setting (Spearman's rho = 0.87). There were also no differences in the type or rank order of procedures performed between military and civilian internists (p = 0.53).

CONCLUSION: The practice content of military and civilian practices appears to be more similar than different.

Author List

Jackson JL, Strong J, Cheng EY, Meyer G

Author

Jeffrey L. Jackson MD Professor in the Medicine department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Age Distribution
Diagnosis-Related Groups
Female
Health Care Surveys
Hospitals, Military
Humans
Internal Medicine
Male
Middle Aged
Military Medicine
Outpatient Clinics, Hospital
Patients
Practice Patterns, Physicians'
Sex Distribution
United States
Washington