Table 2.

Number of Patient Visits to Primary Care and Specialist Physicians for Diagnoses With a Specialty Care Focus, by Overall Morbidity Burden

Overall Morbidity Burden
LowestIntermediateHighest
DiagnosisPrevalence per 1,000Visits to Primary CareVisits to SpecialistsVisits to Primary CareVisits to SpecialistsVisits to Primary CareVisits to Specialists
Note: A specialist focus implies the diagnosis is made more often for patients in specialty care than in primary care. Differences are significant at the .005 level (unless indicated by ns) using paired t tests with Hochberg multiple test family-wise error rate adjustment. Not all 87 diagnoses shown.
Cataract, aphakia1870.031.310.041.400.041.47
Ischemic heart disease1520.901.171.011.351.081.60
Benign and unspecified neoplasm1080.231.160.221.280.241.43
Skin keratoses1080.141.310.131.410.121.52
Cardiac arrhythmia1021.291.491.351.651.311.78
Glaucoma870.012.280.012.290.012.29
Low-impact malignant neoplasms820.382.790.503.310.624.03
Retinal disorders (excluding diabetic retinopathy)650.011.560.021.680.021.75
Cerebrovascular disease540.800.850.810.950.851.05
Urinary symptoms530.500.940.441.150.411.34
Prostatic hypertrophy520.410.970.351.150.281.34
Cardiovascular signs and symptoms510.590.620.580.710.560.80
Dermatitis and eczema490.510.880.431.020.381.17
Bursitis, synovitis, tenosynovitis480.670.820.591.040.551.34
Malignant neoplasms of the skin480.131.750.121.860.111.96
Surgical aftercare480.161.440.231.610.251.71
Cardiac valve disorders410.421.060.411.080.391.17
Allergic rhinitis371.121.931.202.271.142.69
Gastrointestinal signs and symptoms340.590.610.520.780.490.89
Peripheral neuropathy, neuritis290.641.040.571.240.531.40
Conjunctivitis, keratitis260.271.010.211.190.181.33
Disorders of the eyelid and lacrimal duct260.021.260.021.380.021.50
Fractures (excluding digits)260.451.620.451.600.481.51
Autoimmune and connective tissue disease241.121.931.302.161.342.34
Deafness, hearing loss240.170.980.141.070.091.16
Menopausal symptoms220.450.760.390.830.390.90
Peripheral vascular disease220.620.880.611.040.551.27
Vaginitis, vulvitis, cervicitis210.410.700.350.800.330.91
Other skin disorders190.490.680.440.740.370.84
Ophthalmic signs and symptoms160.061.040.081.060.101.09
High-impact malignant neoplasms160.623.510.934.360.984.89
Refractive errors150.001.020.001.040.001.05
Uterovaginal prolapse150.231.510.181.690.161.84
Infections of eyelid140.081.160.071.230.051.29
Sebaceous cyst140.440.870.340.960.261.04
Joint disorders, trauma related130.351.220.341.410.331.48