Beyond the Clinic Family Medicine on a Mission Part 1: How Air Force Physicians Achieve Humanitarian Goals Read Family Medicine on a Mission Part 1: How Air Force Physicians Achieve Humanitarian Goals
Phoenix Newsletter - March 2025 President’s Message: ABFM’s Unwavering Commitment to Diplomates and the Specialty Read President’s Message: ABFM’s Unwavering Commitment to Diplomates and the Specialty
Home Research Research Library Physician versus Practice-Level Primary Care Continuity and Association with Outcomes in Medicare Beneficiaries Physician versus Practice-Level Primary Care Continuity and Association with Outcomes in Medicare Beneficiaries 2022 Author(s) Yang, Zhou, Ganguli, Ishani, Davis, Caitlin S, Dai, Mingliang, Shuemaker, Jill C, Peterson, Lars E, Bazemore, Andrew W, Phillips, Robert L, and Chung, YoonKyung Topic(s) Role of Primary Care, and Achieving Health System Goals Keyword(s) Measurement, Payment, and Quality Of Care Volume Health Services Research Source Health Services Research OBJECTIVE: To compare physician versus practice-level primary care continuity and their association with expenditure and acute care utilization among Medicare beneficiaries and evaluate if continuity of outpatient primary care at either/both physician or/and practice level could be useful quality measures. DATA SOURCE: Medicare Fee-For-Service claims data for community dwelling beneficiaries without End-Stage Renal Disease who were attributed to a national random sample of primary care practices billing Medicare (2011-2017). STUDY DESIGN: Retrospective secondary data analysis at per Medicare beneficiary per year level. We used multivariable linear regression with practice-level fixed effects to estimate continuity of care score at physician vs. practice level and their associations with outcomes. DATA COLLECTION/EXTRACTION METHOD: We calculated clinician and practice level Bice-Boxerman continuity of care index scores, ranging from 0 to 1, using primary care outpatient claims. Medicare expenditures, hospital admissions, emergency department visits, and readmissions were obtained from the Medicare Beneficiary Summary File: Cost and Utilization Segment. Ambulatory care sensitive conditions (ACSC) were defined using diagnosis codes on inpatient claims. PRINCIPAL FINDINGS: We studied 2,359,400 beneficiaries who sought care from 13,926 physicians. Every 0.1 increase in physician continuity score was associated with a $151 reduction in expenditures per beneficiary per year (P<0.01), and every 0.1 increase in practice continuity score was associated with $282 decrease (P<0.01) per beneficiary per year. Both physician- and practice-level continuity were associated with lower Medicare expenditures among small, medium, and large practices. Both physician- and practice-level continuity were associated with lower probabilities of hospitalization, emergency department visit, admissions for ACSC, and readmission. CONCLUSIONS: Primary care continuity of care could serve as a potent value-based care quality metric. Physician-level continuity is a unique value center that cannot be supplanted by practice level continuity. Read More ABFM Research Read all 1990 Residency training for rural primary care Go to Residency training for rural primary care 2023 A Comparative Effectiveness Study on Opioid Use Disorder Prediction Using Artificial Intelligence and Existing Risk Models Go to A Comparative Effectiveness Study on Opioid Use Disorder Prediction Using Artificial Intelligence and Existing Risk Models 2020 Clinical Quality Measures in a Post-Pandemic World: Measuring What Matters in Family Medicine (ABFM) Go to Clinical Quality Measures in a Post-Pandemic World: Measuring What Matters in Family Medicine (ABFM) 2016 Sponsoring Institutions with Five or Fewer Residency Programs Produce a Larger Proportion of General Internists and Family Physicians Go to Sponsoring Institutions with Five or Fewer Residency Programs Produce a Larger Proportion of General Internists and Family Physicians
Author(s) Yang, Zhou, Ganguli, Ishani, Davis, Caitlin S, Dai, Mingliang, Shuemaker, Jill C, Peterson, Lars E, Bazemore, Andrew W, Phillips, Robert L, and Chung, YoonKyung Topic(s) Role of Primary Care, and Achieving Health System Goals Keyword(s) Measurement, Payment, and Quality Of Care Volume Health Services Research Source Health Services Research
ABFM Research Read all 1990 Residency training for rural primary care Go to Residency training for rural primary care 2023 A Comparative Effectiveness Study on Opioid Use Disorder Prediction Using Artificial Intelligence and Existing Risk Models Go to A Comparative Effectiveness Study on Opioid Use Disorder Prediction Using Artificial Intelligence and Existing Risk Models 2020 Clinical Quality Measures in a Post-Pandemic World: Measuring What Matters in Family Medicine (ABFM) Go to Clinical Quality Measures in a Post-Pandemic World: Measuring What Matters in Family Medicine (ABFM) 2016 Sponsoring Institutions with Five or Fewer Residency Programs Produce a Larger Proportion of General Internists and Family Physicians Go to Sponsoring Institutions with Five or Fewer Residency Programs Produce a Larger Proportion of General Internists and Family Physicians
2023 A Comparative Effectiveness Study on Opioid Use Disorder Prediction Using Artificial Intelligence and Existing Risk Models Go to A Comparative Effectiveness Study on Opioid Use Disorder Prediction Using Artificial Intelligence and Existing Risk Models
2020 Clinical Quality Measures in a Post-Pandemic World: Measuring What Matters in Family Medicine (ABFM) Go to Clinical Quality Measures in a Post-Pandemic World: Measuring What Matters in Family Medicine (ABFM)
2016 Sponsoring Institutions with Five or Fewer Residency Programs Produce a Larger Proportion of General Internists and Family Physicians Go to Sponsoring Institutions with Five or Fewer Residency Programs Produce a Larger Proportion of General Internists and Family Physicians