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.
JAMA Internal Medicine – American Medical Association
Published: Jun 10, 2017
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