Higher Practice Intensity Is Associated with Higher Quality of Care but More Avoidable Admissions for Medicare Beneficiaries (Journal Article)

Higher Practice Intensity Is Associated with Higher Quality of Care but More Avoidable Admissions for Medicare Beneficiaries (Journal Article)

Published: Aug 30, 2014
Publisher: Journal of General Internal Medicine, vol. 29, issue 8
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Authors

Bruce E. Landon

A. James O'Malley

M. Richard McKellar

Jack Hadley

James D. Reschovsky

Key Findings
  • The 2,211 primary care physician respondents included 937 internists and 1,274 family or general physicians who were linked to more than 250,000 Medicare enrollees.
  • Patients treated by more costly physicians (whether measured by the overall costliness index or the episode-level index) were more likely to receive recommended preventive services, but were also more likely to experience preventable admissions.

To examine the relationship between primary care physicians' costliness both for defined episodes of care and for defined patients and the quality and outcomes of care delivered to Medicare beneficiaries.

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