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Variations in the use of physician services by Medicare beneficiaries

Variations in the utilization of physicians' services by Medicare enrollees in Michigan are examined in this article. Two measures of market-area utilization are estimated. One is the standard per capita utilization rate, which has been the common focus of many small area variation studies. The...

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Detalles Bibliográficos
Autores principales: Stano, Miron, Folland, Sherman
Formato: Online Artículo Texto
Lenguaje:English
Publicado: CENTERS for MEDICARE & MEDICAID SERVICES 1988
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4192877/
https://www.ncbi.nlm.nih.gov/pubmed/10312517
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author Stano, Miron
Folland, Sherman
author_facet Stano, Miron
Folland, Sherman
author_sort Stano, Miron
collection PubMed
description Variations in the utilization of physicians' services by Medicare enrollees in Michigan are examined in this article. Two measures of market-area utilization are estimated. One is the standard per capita utilization rate, which has been the common focus of many small area variation studies. The second measures the intensity with which physicians treat their patients and can be taken as an indicator of the so-called practice-style phenomenon. The results show that, although substantial intermarket variation in per capita utilization is found, the variations are not as large as one might expect and are considerably less than the variations in per capita utilization for Michigan's Blue Shield population. More important, the relationship between a market's per capita utilization and intensity of care of primary care physicians is insignificant. The relevance of these findings, especially within the context of the practice style hypothesis and policy proposals that would establish physician practice norms, are discussed.
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spelling pubmed-41928772014-11-04 Variations in the use of physician services by Medicare beneficiaries Stano, Miron Folland, Sherman Health Care Financ Rev Research Article Variations in the utilization of physicians' services by Medicare enrollees in Michigan are examined in this article. Two measures of market-area utilization are estimated. One is the standard per capita utilization rate, which has been the common focus of many small area variation studies. The second measures the intensity with which physicians treat their patients and can be taken as an indicator of the so-called practice-style phenomenon. The results show that, although substantial intermarket variation in per capita utilization is found, the variations are not as large as one might expect and are considerably less than the variations in per capita utilization for Michigan's Blue Shield population. More important, the relationship between a market's per capita utilization and intensity of care of primary care physicians is insignificant. The relevance of these findings, especially within the context of the practice style hypothesis and policy proposals that would establish physician practice norms, are discussed. CENTERS for MEDICARE & MEDICAID SERVICES 1988 /pmc/articles/PMC4192877/ /pubmed/10312517 Text en
spellingShingle Research Article
Stano, Miron
Folland, Sherman
Variations in the use of physician services by Medicare beneficiaries
title Variations in the use of physician services by Medicare beneficiaries
title_full Variations in the use of physician services by Medicare beneficiaries
title_fullStr Variations in the use of physician services by Medicare beneficiaries
title_full_unstemmed Variations in the use of physician services by Medicare beneficiaries
title_short Variations in the use of physician services by Medicare beneficiaries
title_sort variations in the use of physician services by medicare beneficiaries
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4192877/
https://www.ncbi.nlm.nih.gov/pubmed/10312517
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