Outcomes in Older Adults with Multimorbidity Associated with Predominant Provider of Care Specialty.

ABSTRACT:

Objectives

To determine whether receiving the predominance of ambulatory visits from a primary care provider compared to a specialty provider is associated with better outcomes in older adults with multi morbidity.

Design

Observational study using propensity score matching.

Setting

Medicare fee-for-service, 2011-12.

Participants

Beneficiaries aged 65 and older with multimorbidity.

Measurements

The independent variable was an indicator for having a specialty (versus primary care) as the predominant provider of care (PPC). Main outcomes were 1-year mortality, hospitalization, standardized expenditures, and ambulatory visit patterns.

Results

Two-thirds of 3,934,942 beneficiaries with multimorbidity had a primary care provider as their PPC. Individual

SUBMITTER: Bynum JPW 

PROVIDER: S-EPMC5603352 | biostudies-literature | 2017 Sep

REPOSITORIES: biostudies-literature