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Association of Primary Care Practice Location and Ownership With the Provision of Low-Value Care in the United States

Association of Primary Care Practice Location and Ownership With the Provision of Low-Value Care... Key PointsQuestionWhat is the influence of practice location and ownership on the provision of low-value care? FindingsIn this nationally representative sample of primary care visits, hospital-based outpatient practices used more low-value computed tomography and magnetic resonance imaging, radiographs, and specialty referrals for common conditions than community-based office practices, particularly during hospital-based visits with someone other than the patient’s primary care provider. Hospital-owned community-based practices made more specialty referrals than physician-owned community-based practices but were otherwise similar. MeaningHospital-based practices provided more low-value care than community-based practices, and hospital-owned community-based practices made more specialty referrals than physician-owned community-based practices. These findings raise concerns about the provision of low-value care at hospital-associated primary care practices. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Internal Medicine American Medical Association

Association of Primary Care Practice Location and Ownership With the Provision of Low-Value Care in the United States

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Publisher
American Medical Association
Copyright
Copyright 2017 American Medical Association. All Rights Reserved.
ISSN
2168-6106
eISSN
2168-6114
DOI
10.1001/jamainternmed.2017.0410
pmid
28395013
Publisher site
See Article on Publisher Site

Abstract

Key PointsQuestionWhat is the influence of practice location and ownership on the provision of low-value care? FindingsIn this nationally representative sample of primary care visits, hospital-based outpatient practices used more low-value computed tomography and magnetic resonance imaging, radiographs, and specialty referrals for common conditions than community-based office practices, particularly during hospital-based visits with someone other than the patient’s primary care provider. Hospital-owned community-based practices made more specialty referrals than physician-owned community-based practices but were otherwise similar. MeaningHospital-based practices provided more low-value care than community-based practices, and hospital-owned community-based practices made more specialty referrals than physician-owned community-based practices. These findings raise concerns about the provision of low-value care at hospital-associated primary care practices.

Journal

JAMA Internal MedicineAmerican Medical Association

Published: Jun 10, 2017

References

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