Ambulatory specialist use by nonhospitalized patients in us health plans: Correlates and consequences

Barbara Starfield; Hsien Yen Chang; Klaus W. Lemke; Jonathan P. Weiner

doi:10.1097/JAC.0b013e3181ac9ca2

Ambulatory specialist use by nonhospitalized patients in us health plans: Correlates and consequences

Barbara Starfield, Hsien Yen Chang, Klaus W. Lemke, Jonathan P. Weiner

Bloomberg School of Public Health

Research output: Contribution to journal › Article › peer-review

42 Scopus citations

Abstract

Approximately 7 of 10 (and 95% of the elderly) people in US health plans see one or more specialists in a year. Controlling for extent of morbidity, discontinuity of primary care physician visits is associated with seeing more different specialists. Having a general internist as the primary care physician is associated with more different specialists seen. Controlling for differences in the degree of morbidity, receiving care from multiple specialists is associated with higher costs, more procedures, and more medications, independent of the number of visits and age of the patient.

Original language	English (US)
Pages (from-to)	216-225
Number of pages	10
Journal	Journal of Ambulatory Care Management
Volume	32
Issue number	3
DOIs	https://doi.org/10.1097/JAC.0b013e3181ac9ca2
State	Published - Jul 2009

Keywords

Continuity of care
Costs of care
Family physicians
General internists
Primary Care
Resource use
Specialist care

ASJC Scopus subject areas

Health Policy

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10.1097/JAC.0b013e3181ac9ca2

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abstract = "Approximately 7 of 10 (and 95% of the elderly) people in US health plans see one or more specialists in a year. Controlling for extent of morbidity, discontinuity of primary care physician visits is associated with seeing more different specialists. Having a general internist as the primary care physician is associated with more different specialists seen. Controlling for differences in the degree of morbidity, receiving care from multiple specialists is associated with higher costs, more procedures, and more medications, independent of the number of visits and age of the patient.",

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Ambulatory specialist use by nonhospitalized patients in us health plans: Correlates and consequences

Abstract

Keywords

ASJC Scopus subject areas

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