Health Care Utilization and the Proportion of Primary Care Physicians

American Journal of Medicine

Volumn 121, Issue 2, 2008, Pages 142-148

  Kravet, Steven J ^a   Shore, Andrew D ^b   Miller, Redonda ^a   Green, Gary B ^a   Kolodner, Ken ^a   Wright, Scott M ^a  

^a JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE   (United States)

^b JOHNS HOPKINS BLOOMBERG SCHOOL OF PUBLIC HEALTH   (United States)

Author keywords

Health expenditures; Primary care; Resource allocation

Indexed keywords

AGED; ARTICLE; EMERGENCY WARD; HEALTH CARE UTILIZATION; HOSPITAL ADMISSION; HOSPITAL PATIENT; HUMAN; NORMAL HUMAN; PHYSICIAN; PRIMARY MEDICAL CARE; PRIORITY JOURNAL; RETROSPECTIVE STUDY;

ADULT; AGE DISTRIBUTION; AGED; CROSS-SECTIONAL STUDIES; ETHNIC GROUPS; FEMALE; HEALTH SERVICES; HUMANS; MALE; MIDDLE AGED; MULTIVARIATE ANALYSIS; PHYSICIANS, FAMILY; REGRESSION ANALYSIS; RETROSPECTIVE STUDIES; SEX DISTRIBUTION; SOCIOECONOMIC FACTORS; UNITED STATES;

EID: 38849116339     PISSN: 00029343     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.amjmed.2007.10.021     Document Type: Article

References (36)

1. Cassel C.K., and Brennan T.E. Managing medical resources: return to the commons?. JAMA 297 (2007) 2518-2521
2. Macinko J., Starfield B., and Shi L. The contribution of primary care systems to health outcomes within organization for economic cooperation and development (OECD) countries, 1970-1998. Health Serv Res. 38 (2003) 831-865
3. Schoen C., Davis K., How S.K., and Schoenbaum S.C. U.S. health system performance: a national scorecard. Health Aff (Millwood) 25 (2006) w457-w475
4. Franks P., and Fiscella K. Primary care physicians and specialists as personal physicians. Health care expenditures and mortality experience. J Fam Pract. 47 (1998) 105-109
5. Chobanian A.V., Bakris G.L., Black H.R., et al. The seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure: the JNC 7 report. JAMA 289 (2003) 2560-2572
6. Murphy D., Chapel T., and Clark C. Moving diabetes care from science to practice: the evolution of the National Diabetes Prevention and Control Program. Ann Intern Med. 140 (2004) 978-984
7. Forrest C.B., and Starfield B. The effect of first-contact care with primary care clinicians on ambulatory health care expenditures. J Fam Pract. 43 (1996) 40-48
8. Ozcan Y.A., Jiang H.J., and Pai C.W. Do primary care physicians or specialists provide more efficient care?. Health Serv Manage Res. 13 (2000) 90-96
9. Greenfield S., Rogers W., Mangotich M., et al. Outcomes of patients with hypertension and non-insulin dependent diabetes mellitus treated by different systems and specialties. Results from the medical outcomes study. JAMA 274 (1995) 1436-1444
10. Parekh V., Saint S., Furney S., et al. What effect does inpatient physician specialty and experience have on clinical outcomes and resource utilization on a general medical service?. J Gen Intern Med. 19 (2004) 395-401
11. Bodenheimer T. High and rising health care costs. Part 3: the role of health care providers. Ann Intern Med 142 12 (2005) 996-1002
12. American College of Physicians. The impending collapse of primary care medicine and its implications for the state of the nation's health care: a report from the American College of Physicians. http://www.acponline.org/hpp/statehc06_1.pdf Accessed May 15, 2006
13. Pugno P.A., Schmittling G.T., Fetter Jr. G.T., and Kahn Jr. N.B. Results of the 2005 National Resident Matching Program: family medicine. Fam Med. 37 (2005) 555-564
14. U.S. Department of Health and Human Services, Office of Research and Planning, and Bureau of Health Professions. Area Resource File (2001), Bureau of Health Professions, Rockville, MD
15. Diggle P.J., Liang K.Y., and Zeger S.L. Analysis of Longitudinal Data (1994), Clarendon Press, Oxford, UK
16. Longitudinal data analysis using generalized estimated linear models. Biometrika (1986) 13-22
17. Kanter R.K., and Morgan J.R. Hospital emergency surge capacity: an empiric New York statewide study. Ann Emerg Med. 50 3 (2007) 314-319
18. Shi L. Primary care, specialty care, and life chances. Int J Health Serv. 24 (1994) 431-458
19. Medicare spending, the physician workforce, and beneficiaries' quality of care. Health Aff (Millwood) (2004) W184-W197 Suppl Web Exclusives
20. Alsever R.N. Specialist versus primary care: not an easy question. Physician Exec. 21 (1995) 39-41
21. Diette G.B., Skinner E.A., Nguyen T.T., et al. Comparison of quality of care by specialist and generalist physicians as usual source of asthma care for children. Pediatrics 108 (2001) 432-437
22. Goodman D.C., Fisher E.S., Little G.A., et al. The relation between the availability of neonatal intensive care and neonatal mortality. N Engl J Med. 346 (2002) 1538-1544
23. Sirovich B.E., Gottlieb D.J., Welch H.G., and Fisher E.S. Regional variations in health care intensity and physician perceptions of quality of care. Ann Intern Med. 144 (2006) 641-649
24. Welch W.P., Miller M.E., Welch H.G., et al. Geographic variation in expenditures for physicians' services in the United States. N Engl J Med. 328 (1993) 621-627
25. Mark D.H., Gottlieb M.S., Zellner B.B., et al. Medicare costs in urban areas and the supply of primary care physicians. J Fam Pract. 43 (1996) 33-39
26. American College of Physicians. ACP: Internal medicine residency match results and survey of residents' future career plans underscore need for comprehensive reforms.
27. Watson D.E., Slade S., Buske L., and Tepper J. Intergenerational differences in workloads among primary care physicians: a ten-year, population-based study. Health Aff (Millwood) 25 (2006) 1620-1628
28. Hauer K.E., Alper E.J., Clayton C.P., et al. Educational responses to declining student interest in internal medicine careers. Am J Med. 118 (2005) 1164-1170
29. Garibaldi R.A., Popkave C., and Bylsma W. Career plans for trainees in internal medicine residency programs. Acad Med. 80 (2005) 507-512
30. Levine R.B., and Mechaber H.F. Opting in: part-time careers in academic medicine. Am J Med. 119 (2006) 450-453
31. Substitution of doctors by nurses in primary care. Cochrane Database Syst Rev. 2 (2005) CD001271
32. National Health Service. NHS in England. http://www.nhs.uk/england/AboutTheNhs/Default.cmsx Accessed May 30, 2006
33. Braithwaite R., and Rosen A. Linking cost sharing to value: an unrivaled yet unrealized public health opportunity. Ann Intern Med. 146 (2007) 602-605
34. Bodenheimer T. High and rising health care costs. Part 1: seeking an explanation. Ann Intern Med. 142 10 (2005) 847-854
35. Ross J.S., Bradley E.H., and Busch S.H. Use of health care services by lower-income and higher-income uninsured adults. JAMA 295 (2006) 2027-2036
36. Starfield B., Shi L., Grover A., and Macinko J. The effects of specialist supply on populations' health: assessing the evidence. Suppl Web Exclusives. Health Aff (Millwood) (2005) W597-W5107