Usual Source Of Care: An Important Source Of Variation In Health Care Spending

被引：33

作者：

Phillips, Robert L. ^{[1
]}

Dodoo, Martey S.

Green, Larry A. ^{[2
]}

Fryer, George E. ^{[3
]}

Bazemore, Andrew W.

Mccoy, Kristin I. ^{[4
]}

Petterson, Stephen M.

机构：

[1] Robert Graham Ctr, Washington, DC USA

[2] Univ Colorado, Aurora, CO USA

[3] Univ Arkansas Med Sci, Little Rock, AR 72205 USA

[4] El Ctr Family Hlth, Espanola, NM USA

来源：

HEALTH AFFAIRS | 2009年 / 28卷 / 02期

关键词：

INTERNAL-MEDICINE; FAMILY-PRACTICE; INSURANCE; OUTCOMES; SERVICES; CHARGES; COSTS; HMO;

D O I：

10.1377/hlthaff.28.2.567

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Health care spending varies in unexplained ways, and physicians' behavior is thought to explain much of the variation. We studied the spending effects of having different usual sources of care, focusing on variations associated with the type of facility or physician specialty. Based on analyses of data from the 2001-2004 Medical Expenditure Panel Surveys, we found significant differences in annual spending, especially for adults. Use of and spending for subspecialists were similar to those for general internists, and both were significantly higher than those for family physicians. Variation in spending might be the result of training differences among primary care specialties. [Health Affairs 28, no. 2 (2009): 567-577; 10.1377/hlthaff.28.2.567]

引用

页码：567 / 577

页数：11

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