ArticleHealth services research2019
New approaches to measuring the comprehensiveness of primary care physicians.
Article in Health services research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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Who cites it
30 citing papers in PubMed.
- Comprehensive care management variation between rural and nonrural Maryland Primary Care Program (MDPCP) practices.Health affairs scholar · 2025Article
- Regional Variation in Scope of Practice by Family Physicians.Journal of the American Board of Family Medicine : JABFM · 2025Article
- Comprehensiveness in Primary Care: A Scoping Review.The Milbank quarterly · 2025Article
- Emergency services utilization by patients with alcohol-associated hepatitis: An analysis of national trends.Alcohol, clinical & experimental research · 2024Article
- Association of the Range of Outpatient Services Provided by Primary Care Physicians with Subsequent Health Care Costs and Utilization.Journal of general internal medicine · 2023Article
- Estimating the Primary Care Workforce for Medicare Beneficiaries Using an Activity-Based Approach.Journal of general internal medicine · 2023Observational
- Greater temporal regularity of primary care visits was associated with reduced hospitalizations and mortality, even after controlling for continuity of care.BMC health services research · 2023Article
- Successes, weaknesses, and recommendations to strengthen primary health care: a scoping review.Archives of public health = Archives belges de sante publique · 2023Article
- Medicare beneficiaries with more comprehensive primary care physicians report better primary care.Health services research · 2023Article
- Assessing patient, physician, and practice characteristics predicting the use of low-value services.Health services research · 2022Article
- Primary Care's Effects on Costs in the US Veterans Health Administration, 2016-2019: an Observational Cohort Study.Journal of general internal medicine · 2022Observational
- Updating a Claims-Based Measure of Low-Value Services Applicable to Medicare Fee-for-Service Beneficiaries.Journal of general internal medicine · 2022Article
- Configuration and Delivery of Primary Care in Rural and Urban Settings.Journal of general internal medicine · 2022Observational
- Introducing Parenting Support in Primary Care: Professionals' Perspectives on the Implementation of a Positive Parenting Program.Journal of prevention (2022) · 2022Article
- How does people-centered integrated care in medical alliance in China promote the continuity of healthcare for internal migrants: The moderating role of respect.Frontiers in public health · 2022Article
- Primary Care Practices Providing a Broader Range of Services Have Lower Medicare Expenditures and Emergency Department Utilization.Journal of general internal medicine · 2021Article
- Association between service scope of primary care facilities and patient outcomes: a retrospective study in rural Guizhou, China.BMC health services research · 2021Article
- Personal Formularies of Primary Care Physicians Across 4 Health Care Systems.JAMA network open · 2021Article
- Practice-site-level measures of primary care comprehensiveness and their associations with patient outcomes.Health services research · 2021Article
- Association between direct government subsidies and service scope of primary care facilities: a cross-sectional study in China.International journal for equity in health · 2020Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
objectiveTo develop claims-based measures of comprehensiveness of primary care physicians (PCPs) and summarize their associations with health care utilization and cost. DATA SOURCES AND STUDY
settingA total of 5359 PCPs caring for over 1 million Medicare fee-for-service beneficiaries from 1404 practices. STUDY
designWe developed Medicare claims-based measures of physician comprehensiveness (involvement in patient conditions and new problem management) and used a previously developed range of services measure. We analyzed the association of PCPs' comprehensiveness in 2013 with their beneficiaries' emergency department, hospitalizations rates, and ambulatory care-sensitive condition (ACSC) admissions (each per 1000 beneficiaries per year), and Medicare expenditures (per beneficiary per month) in 2014, adjusting for beneficiary, physician, practice, and market characteristics, and clustering. PRINCIPAL
findingsEach measure varied across PCPs and had low correlation with the other measures-as intended, they capture different aspects of comprehensiveness. For patients whose PCPs' comprehensiveness score was at the 75th vs 25th percentile (more vs less comprehensive), patients had lower service use (P < 0.05) in one or more measures: involvement with patient conditions: total Medicare expenditures, -$17.4 (-2.2 percent); hospitalizations, -5.5 (-1.9 percent); emergency department (ED) visits, -16.3 (-2.4 percent); new problem management: total Medicare expenditures, -$13.3 (-1.7 percent); hospitalizations, -7.0 (-2.4 percent); ED visits, -19.7 (-2.9 percent); range of services: ED visits, -17.1 (-2.5 percent). There were no significant associations between the comprehensiveness measures and ACSC admission rates.
conclusionsThese measures demonstrate strong content and predictive validity and reliability. Medicare beneficiaries of PCPs providing more comprehensive care had lower hospitalization rates, ED visits, and total Medicare expenditures.
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