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Comparison of discharge diagnoses and inpatient procedures between military and civilian health care systems. Mil Med 1999 Oct;164(10):701-4

Date

11/02/1999

Pubmed ID

10544622

Scopus ID

2-s2.0-0032882064 (requires institutional sign-in at Scopus site)   22 Citations

Abstract

BACKGROUND: Our goal was to compare the demographics and discharge diagnoses between civilian and military health care systems.

METHODS: One year (1997) of data from the Retrospective Case Mix Adjustment System from the Military Health Services System were compared with the most recent (1994) civilian National Hospital Discharge Survey data.

RESULTS: Military and civilian inpatient age (52.5 and 52.9 years), gender (54% and 59% female), and ethnic distributions (military: 71% white, 16% African American, 3% Asian American, 10% other; civilian: 65% white, 12% African American, 2.6% Asian American, 1.2% Native American, 18% unclassified) were similar. There were similar rank orderings of diagnosis-related groupings (Spearman's rank correlation = 0.72) and procedures performed during hospitalization (Spearman's rho = 0.74), although the military inpatients yielded a higher proportion associated with pregnancy and strenuous activity (traumatic joint disorders and hernias) than their civilian counterparts.

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

Author List

Jackson JL, Cheng EY, Jones DL, 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

Diagnosis-Related Groups
Diagnostic Techniques and Procedures
Female
Humans
Male
Middle Aged
Military Medicine
Military Personnel
Morbidity
Patient Discharge
Pregnancy
Retrospective Studies
Statistics, Nonparametric
Therapeutics
United States