Practice-site-level measures of primary care comprehensiveness and their associations with patient outcomes.

ABSTRACT:

Objectives

To develop two practice-site-level measures of comprehensiveness and examine their associations with patient outcomes, and how their performance differs from physician-level measures.

Data sources

Medicare fee-for-service claims.

Study design

We calculated practice-site-level comprehensiveness measures (new problem management and involvement in patient conditions) across 5286 primary care physicians (PCPs) at 1339 practices in the Comprehensive Primary Care initiative evaluation in 2013. We assessed their associations with practices' attributed beneficiaries' 2014 total Medicare expenditures, hospitalization rates, ED visit rates. We also examined variation in PCPs' comprehensiveness across PCPs within practices versus between primary care practices. Finall

SUBMITTER: O'Malley AS 

PROVIDER: S-EPMC8143682 | biostudies-literature | 2021 Jun

REPOSITORIES: biostudies-literature