Are Two Heads Better Than One or Do Too Many Cooks Spoil the Broth? The Trade-Off between Physician Division of Labor and Patient Continuity of Care for Older Adults with Complex Chronic Conditions.

ABSTRACT:

Objective

To examine the effects of physician division of labor and patient continuity of care (COC) on the care quality and outcomes of older adults with complex chronic conditions.

Data sources/study setting

Seven years (2006-2012) of panel data from the Medicare Current Beneficiary Survey (MCBS).

Study design

Regression models were used to estimate the effect of the specialty-type of physicians involved in annual patient evaluation and management, as well as patient COC, on simultaneous care processes and following year outcomes.

Data collection/extraction methods

Multiyear cohorts of Medicare beneficiaries with diabetes and/or heart failure were retrospectively identified to create a panel of 15,389 person-year observations.

Principal findings

Involv

SUBMITTER: Johnston KJ 

PROVIDER: S-EPMC5134216 | biostudies-literature | 2016 Dec

REPOSITORIES: biostudies-literature