M Tulsa

Document Type



This report presents the fiscal year 1992 distribution of leading causes of ambulatory care visits for patients treated at 12 Indian Health Service (IHS) and tribal direct and contract facilities. The IHS and tribal direct facility source documents for this report were the Ambulatory Patient Care Report and the Patient Care Component Ambulatory Encounter Records. For contract care, the source document is the Purchase/Delivery Order for Contract Health Services for Other than Hospital Inpatient or Dental. This report discusses the distribution of problems or clinical impressions as recorded by physicians and other providers of health care for patients in all 12 IHS Areas. In fiscal year 1992, there were 7,109,177 problem/clinical impressions recorded at all IHS, tribal direct and contract facilities compared to 6,495,573 in fiscal year 1991. Since fiscal year 1991, both the overall total and the direct facilities total had increases of nine percent, with a seven percent increase at contract facilities. Tables and figures are provided by purpose for visit (e.g. otitis media, diabetes mellitus, respiratory tract infections, etc.) and also by age categories.

Publication Date



Indian Health Service, Staff Office of Planning, Evaluation and Research, Rockville, MD 20857.