Percent of Decedents Seeing 10 or More Different Physicians during the Last Six Months of Life
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    (Click a region name
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    Percent of Decedents Seeing 10 or More Different Physicians during the Last Six Months of Life
    (Year: 2012; Region Levels: State)
    Alabama 36.5%
    Alaska 30.5%
    Arizona 47.0%
    Arkansas 33.5%
    California 42.4%
    Colorado 36.7%
    Connecticut 53.7%
    Delaware 49.7%
    District of Columbia 48.7%
    Florida 53.5%
    Georgia 42.2%
    Hawaii 34.7%
    Idaho 22.7%
    Illinois 44.9%
    Indiana 39.0%
    Iowa 28.1%
    Kansas 31.5%
    Kentucky 39.9%
    Louisiana 41.4%
    Maine 34.0%
    Maryland 51.3%
    Massachusetts 50.8%
    Michigan 47.0%
    Minnesota 34.6%
    Mississippi 36.9%
    Missouri 37.0%
    Montana 23.0%
    Nebraska 32.3%
    Nevada 47.6%
    New Hampshire 40.2%
    New Jersey 57.4%
    New Mexico 31.8%
    New York 54.1%
    North Carolina 43.8%
    North Dakota 27.3%
    Ohio 44.2%
    Oklahoma 31.3%
    Oregon 26.2%
    Pennsylvania 49.3%
    Rhode Island 48.7%
    South Carolina 41.2%
    South Dakota 25.6%
    Tennessee 42.4%
    Texas 42.4%
    Utah 25.3%
    Vermont 32.1%
    Virginia 47.4%
    Washington 35.5%
    West Virginia 37.5%
    Wisconsin 33.2%
    Wyoming 25.3%
    National Average 43.6%
    90th Percentile 51.3%
    50th Percentile 39.0%
    10th Percentile 25.6%
        • Click here to read about changes in methods between the 2001-05 and 2003-07 analyses. The study population includes beneficiaries with one of nine chronic conditions who were enrolled in traditional (fee-for-service) Medicare and died during the measurement period. To allow for two years of follow-back for all patients, the population is restricted to those whose age on the date of death was 67 to 99 years, and to those having full Part A and Part B entitlement throughout the last two years of life. Persons enrolled in managed care organizations were excluded from the analysis. For the hospital-specific analyses, patients had to be hospitalized for chronic illness at least once during their last two years of life to be included. For regional analyses, all patients diagnosed with a chronic illness were included.

        • Number of patients that saw 10 or more different physicians during the last six months of life. The number of physicians seen in the last six months of life is computed based on the Unique Provider Identification Number (UPIN) on the Part B claim.

        • ADJUSTMENTS:
        • Rates are adjusted for age, sex, race, primary chronic condition, and the presence of more than one chronic condition using ordinary least squares regression.


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    The Dartmouth Atlas of Health Care is based at The Dartmouth Institute for Health Policy and Clinical Practice and is supported by a coalition of funders led by the Robert Wood Johnson Foundation, including the WellPoint Foundation, the United Health Foundation, the California HealthCare Foundation, and the Charles H. Hood Foundation.