Primary care physician workforce and Medicare beneficiaries' health outcomes.
作者： Chiang-Hua Chang , Therese A Stukel , Ann Barry Flood , David C Goodman
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摘要: Results Marked variation was observed in the primary care physician workforce across areas, but low correlation between 2 measures (Spearman r=0.056; P.001). Compared with areas lowest quintile of measure using AMA Masterfile counts, beneficiaries highest had fewer ACSC hospitalizations (74.90 vs 79.61 per 1000 beneficiaries; relative rate [RR], 0.94; 95% confidence interval [CI], 0.93-0.95), lower mortality (5.38 5.47 100 RR, 0.98; CI, 0.97-0.997), and no significant difference total Medicare spending ($8722 $8765 beneficiary; 1.00; 0.99-1.00). Beneficiaries residing clinician FTEs compared those (5.19 5.49 0.95; 0.93-0.96), (72.53 79.48 0.91; 0.90-0.92), higher overall ($8857 $8769 1.01; 1.004-1.02). Conclusion A level workforce, particularly an FTE that may more accurately reflect ambulatory care, generally associated favorable patient outcomes.
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