Quality and Experience of Outpatient Care in the United States for Adults With or Without Primary Care.

ABSTRACT: Importance:The US health care system is typically organized around hospitals and specialty care. The value of primary care remains unclear and debated. Objective:To determine whether an association exists between receipt of primary care and high-value services, low-value services, and patient experience. Design, Setting, and Participants:This is a nationally representative analysis of noninstitutionalized US adults 18 years or older who participated in the Medical Expenditure Panel Survey. Propensity score-weighted quality and experience of care were compared between 49 286 US adults with and 21 133 adults without primary care from 2012 to 2014. Temporal trends were also analyzed from 2002 to 2014. Exposures:Patient-reported receipt of primary care, determined by the 4 "Cs" of primary care

SUBMITTER: Levine DM 

PROVIDER: S-EPMC6439688 | biostudies-literature | 2019 Mar

REPOSITORIES: biostudies-literature