Ambulatory Specialist Use by Nonhospitalized Patients in US Health Plans Correlates and Consequences

被引：44

作者：

Starfield, Barbara ^{[1
]}

Chang, Hsien-Yen ^{[1
]}

Lemke, Klaus W. ^{[1
]}

Weiner, Jonathan P. ^{[1
]}

机构：

[1] Johns Hopkins Bloomberg Sch Publ Hlth, Wolfe St, Baltimore, MD 21205 USA

来源：

JOURNAL OF AMBULATORY CARE MANAGEMENT | 2009年 / 32卷 / 03期

关键词：

continuity of care; costs of care; family physicians; general internists; primary care; resource use; specialist care;

D O I：

10.1097/JAC.0b013e3181ac9ca2

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Approximately 7 of 10 (and 95% of the elderly) people in US health plans see one or more specialists in a year. Controlling for extent of morbidity, discontinuity of primary care physician visits is associated with seeing more different specialists. Having a general internist as the primary care physician is associated with more different specialists seen. Controlling for differences in the degree of morbidity, receiving care from multiple specialists is associated with higher costs, more procedures, and more medications, independent of the number of visits and age of the patient.

引用

页码：216 / 225

页数：10

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