Effect of Health Service Area on Primary Care Physician Provision of Low-Value Cancer Screening.

ABSTRACT:

Background

Using a health systems approach to investigate low-value care (LVC) may provide insights into structural drivers of this pervasive problem.

Objective

To evaluate the influence of service area practice patterns on low-value mammography and prostate-specific antigen (PSA) testing.

Design

Retrospective study analyzing LVC rates between 2008 and 2018, leveraging physician relocation in 3-year intervals of matched physician and patient groups.

Setting

U.S. Medicare claims data.

Participants

8254 physicians and 56 467 patients aged 75 years or older.

Measurements

LVC rates for physicians staying in their original service area and those relocating to new areas.

Results

Physicians relocating from higher-LVC areas to low-LVC areas were mo

SUBMITTER: Dindinger-Hill K 

PROVIDER: S-EPMC11200206 | biostudies-literature | 2024 May

REPOSITORIES: biostudies-literature