PCP Involvement Tied to End-of-Life Care Patterns

Share this content:
PCP Involvement Tied to End-of-Life Care Patterns
PCP Involvement Tied to End-of-Life Care Patterns

THURSDAY, Jan. 12, 2017 (HealthDay News) -- Higher primary care physician involvement in end-of-life care is associated with less intensive and lower cost end-of-life care, according to a study published in the January/February issue of the Annals of Family Medicine.

Claire K. Ankuda, M.D., M.P.H., from the University of Michigan Health System in Ann Arbor, and colleagues analyzed Medicare Part B claims data for U.S. hospital referral regions (HRRs) to examine the correlation of primary care physician involvement at the end of life with care patterns. Three hundred six HRRs were assessed, capturing data for 1,107,702 Medicare Part B beneficiaries with chronic disease who died.

The researchers found that the interquartile range of the HRR ratio of primary care to specialist end-of-life visits was 0.77 to 1.21. Significantly different patient, population, and health system characteristics were seen for HRRs with high versus low primary care physician involvement at the end of life. HRRs with the greatest involvement of primary care physicians had significantly lower Medicare spending in the last two years of life ($65,160 versus $69,030), fewer intensive care unit days in the six months preceding death (2.90 versus 4.29), and less hospice enrollment (44.5 versus 50.4 percent of decedents), after adjustment for these differences.

"It is promising that areas of high primary care physician involvement appear to have lower-intensity, lower-cost care," the authors write.

Full Text

Share this content:

is free, fast, and customized just for you!

Already a member?

Sign In Now »


Sign up for myCME e-newsletters


Drug Lookup

Browse drugs by: BrandGenericDisease

Trending Activities

All Professions

More in Home

Genital HPV Prevalence Rate High Among Men in the United States

Genital HPV Prevalence Rate High Among Men in ...

Although vaccine is recommended, too few are getting it, researchers say

17 Million U.S. Adults May Have Masked Hypertension

17 Million U.S. Adults May Have Masked Hypertension

Masked hypertension more common among males, those with diabetes, older adults

Sedentary Behavior May Lead to Shorter Telomeres in Women

Sedentary Behavior May Lead to Shorter Telomeres in ...

Cells of elderly women who sit most of the day look much older than their actual age

is free, fast, and customized just for you!

Already a member?

Sign In Now »