Physician Service Patterns and Illness Rates: A Research Report on Medical Data Retrieved from Insurance Records
This study was undertaken by Group Health Insurance (GHI) to demonstrate the wealth of medically relevant data which can be produced as a by-product of medical insurance administration. The flow of original source data presented in "Physician Service Patterns" contains much of substantive value; equally important is the demonstration of what can be done. It is our belief that every type of data examined for this exploratory project bears directly or indirectly on the work of medical care analysts and planners, epidemiologists, sociologists, physicians, hospital administrators, insurers, welfare fund trustees and research fund allocators.
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Growth of Private Medical Insurance
Project Scope Design Problems
The Study Population
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accounted Adjusted admissions adults Age and Sex ambulatory analysis average blue-collar Bones calls cent higher claims combined compared comprehensive consultations Cont'd Count coverage DIAGNOSIS Diseases disorders Distribution Enrollment Excision Excluding experience Exposure Extremities families fields frequency Genital Organs Gross Heart highest hospital hospital surgery incidence Including increasing indices individual Injuries Laboratory Blood limited listed lower lowest Male Female male rate Manhattan Marital Status married Medical Care Medical General Medical membership months nearly Neoplasms Occupation Class occurred Out-of-Hospital overall patients pattern performed persons physicians Plan population Practice preventive procedures Professional proportion range records Relationship relatively rendered reported Residence Respiratory Richmond Sales sample showed single Skin specialists stay Subscriber Suffolk surgery surgical System TABLE tests thousand tion treated treatment Type of Service users utilization rates variations Visits Westchester women x-rays York