0

The full content of Annals is available to subscribers

Subscribe/Learn More  >
Improving Patient Care |

The Effect of Different Attribution Rules on Individual Physician Cost Profiles

Ateev Mehrotra, MD, MPH; John L. Adams, PhD; J. William Thomas, PhD; and Elizabeth A. McGlynn, PhD
[+] Article and Author Information

From the RAND Corporation, Santa Monica, California, and Pittsburgh, Pennsylvania; University of Pittsburgh, Pittsburgh, Pennsylvania; and University of Southern Maine, Portland, Maine.


Acknowledgment: The authors thank Barbra Rabson and Jan Singer of Massachusetts Health Quality Partners, who facilitated access to the data sets used in this study.

Grant Support: By a contract from the U.S. Department of Labor (J-9-P-2-0033); a career development award (KL2 RR024154) from the National Center for Research Resources, a component of the National Institutes of Health (Dr. Mehrotra); and grant 60517 from the Robert Wood Johnson Foundation's Health Care Financing and Organization program (Dr. Thomas).

Potential Conflicts of Interest: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M09-2756.

Reproducible Research Statement:Study protocol and statistical code: Available from Dr. Mehrotra (mehrotra@rand.org). Data set: Available through written agreements with the authors, Massachusetts Health Quality Partners, and the health plans that provided the data.

Requests for Single Reprints: Ateev Mehrotra, MD, MPH, RAND, 4570 Fifth Avenue, Suite 600, Pittsburgh, PA 15213-2665; e-mail, mehrotra@rand.org.

Current Author Addresses: Dr. Mehrotra: RAND, 4570 Fifth Avenue, Suite 600, Pittsburgh, PA 15213-2655.

Drs. Adams and McGlynn: RAND, 1776 Main Street, Box 2138, Santa Monica, CA 90407.

Dr. Thomas: Box 9300, 509 Forest Avenue, Portland, ME 04104-9300.

Author Contributions: Conception and design: A. Mehrotra, J.L. Adams, J.W. Thomas, E.A. McGlynn.

Analysis and interpretation of the data: A. Mehrotra, J.L. Adams, J.W. Thomas, E.A. McGlynn.

Drafting of the article: A. Mehrotra, J.W. Thomas.

Critical revision of the article for important intellectual content: J.L. Adams, E.A. McGlynn.

Final approval of the article: A. Mehrotra, J.L. Adams, J.W. Thomas, E.A. McGlynn.

Statistical expertise: J.L. Adams.

Obtaining of funding: E.A. McGlynn.

Administrative, technical, or logistic support: A. Mehrotra.

Collection and assembly of data: A. Mehrotra, E.A. McGlynn.


Ann Intern Med. 2010;152(10):649-654. doi:10.7326/0003-4819-152-10-201005180-00005
Text Size: A A A

Our study sample included 13 761 physicians, who delivered 5 602 652 episodes of care to 1.1 million patients. For most patients and episodes, care involved multiple physicians. Among patients, 91% saw multiple physicians over the 2-year period and 61% saw 5 or more physicians. Among episodes, 54% involved multiple physicians and 9% involved 5 or more physicians.

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Letters

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Comments

Submit a Comment
Submit a Comment

Summary for Patients

Clinical Slide Sets

Terms of Use

The In the Clinic® slide sets are owned and copyrighted by the American College of Physicians (ACP). All text, graphics, trademarks, and other intellectual property incorporated into the slide sets remain the sole and exclusive property of the ACP. The slide sets may be used only by the person who downloads or purchases them and only for the purpose of presenting them during not-for-profit educational activities. Users may incorporate the entire slide set or selected individual slides into their own teaching presentations but may not alter the content of the slides in any way or remove the ACP copyright notice. Users may make print copies for use as hand-outs for the audience the user is personally addressing but may not otherwise reproduce or distribute the slides by any means or media, including but not limited to sending them as e-mail attachments, posting them on Internet or Intranet sites, publishing them in meeting proceedings, or making them available for sale or distribution in any unauthorized form, without the express written permission of the ACP. Unauthorized use of the In the Clinic slide sets will constitute copyright infringement.

Toolkit

Buy Now

to gain full access to the content and tools.

Want to Subscribe?

Learn more about subscription options

Advertisement
Related Articles
Topic Collections
Forgot your password?
Enter your username and email address. We'll send you a reminder to the email address on record.
(Required)
(Required)