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Research ArticleOriginal Research

Do Physicians Address Other Medical Problems During Preventive Gynecologic Visits?

Donna Cohen and Andrew Coco
The Journal of the American Board of Family Medicine January 2014, 27 (1) 13-18; DOI: https://doi.org/10.3122/jabfm.2014.01.130045
Donna Cohen
From The Research Institute and the Department of Family and Community Medicine, Lancaster General Hospital, Lancaster, PA.
MD, MSc
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Andrew Coco
From The Research Institute and the Department of Family and Community Medicine, Lancaster General Hospital, Lancaster, PA.
MD, MS
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Article Figures & Data

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    Table 1. Characteristics of Preventive Gynecologic Visits to Primary Care Physicians and Obstetrician-Gynecologists, 1999 to 2008 (n = 7882)
    Patient CharacteristicsProportion of Visits (%)P Value
    Primary Care Physicians* (n = 1479)Obstetrician-Gynecologists (n = 6403)
    Age, years
        18–2920.321.7<.05
        30–4430.936.6
        45–6945.137.5
        >693.74.3
    Race
        White84.785.1.94
        Black11.911.3
        Asian and other3.43.6
    Ethnicity
        Latino12.611.2.53
    Health insurance
        Private73.481.8<.001
        Medicare7.06.7
        Medicaid7.65.6
        Other†12.05.9
    Geographic region
        Northeast19.522.0<.001
        Midwest30.420.0
        South26.640.4
        West23.517.6
    Geographic entity
        Not a metropolitan statistical area15.47.9<.05
    Visit occurred with primary care physician
        Yes89.714.9<.001
        No6.679.3
        Unknown3.75.8
    • ↵* Includes family medicine (67%), internal medicine (21%), and general medicine clinic (12%).

    • ↵† Includes self-pay (36%), charity (24%), not specified (24%), unknown (15%), and worker's compensation (<1%).

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    Table 2. Rate of Concurrent Medical Diagnosis Occurring During Preventive Gynecologic Visits with Primary Care Physicians versus Obstetrician-Gynecologists, by ICD-9-CM Diagnostic Category (n = 7882)
    Concurrent Diagnoses (ICD-9-CM Diagnostic Category)*Visits to Primary Care Physicians (%) (n = 1479)Visits to Obstetrician-Gynecologists (%) (n = 6403)Adjusted Odds Ratio† (95% CI)
    Total concurrent visits (001–999)52.929.62.41 (1.63–3.57)
    Total visits with multiple concurrent diagnosis (001–999)23.38.13.29 (2.00–5.42)
    Infectious and parasitic diseases (001–139)2.91.61.33 (0.47–3.78)
    Neoplasm (140–239)1.40.71.13 (0.30–4.28)
    Endocrine and metabolic diseases (240–279)8.41.68.13 (3.82–17.31)
    Mental disorders (290–319)6.11.42.77 (1.38–5.59)
    Diseases of circulatory system (390–459)6.71.03.78 (1.89–7.35)
    Diseases of respiratory system (460–519)2.60.214.5 (4.85–43.56)
    Diseases of digestive system (520–579)2.80.66.05 (2.97–12.32)
    Diseases of genitourinary system (580–629)12.012.21.28 (0.78–2.10)
    Diseases of skin and subcutaneous tissue (680–709)4.20.54.61 (1.34–15.8)
    Symptoms, signs, and ill-defined conditions (780–799)5.62.52.13 (0.98–4.63)
    Factors influencing health status and contact with health services (800–999)12.611.61.12 (0.65–1.92)
    • ↵* The following categories were not analyzed separately because of insufficient numbers: disease of blood and blood forming organs (ICD-9-CM 280–289), congenital anomalies (ICD-9-CM 740–759), and injury and poisoning (ICD-9-CM 800–999).

    • ↵† Adjusted for race, ethnicity, age, metropolitan statistical area status, insurance, and primary care physician status.

      CI, confidence interval.

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The Journal of the American Board of Family     Medicine: 27 (1)
The Journal of the American Board of Family Medicine
Vol. 27, Issue 1
January-February 2014
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Do Physicians Address Other Medical Problems During Preventive Gynecologic Visits?
Donna Cohen, Andrew Coco
The Journal of the American Board of Family Medicine Jan 2014, 27 (1) 13-18; DOI: 10.3122/jabfm.2014.01.130045

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Do Physicians Address Other Medical Problems During Preventive Gynecologic Visits?
Donna Cohen, Andrew Coco
The Journal of the American Board of Family Medicine Jan 2014, 27 (1) 13-18; DOI: 10.3122/jabfm.2014.01.130045
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