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Percent of Decedents Seeing 10 or More Different Physicians during the Last Six Months of Life
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    Region
    (Click a region name
    below to view its profile)
    Percent of Decedents Seeing 10 or More Different Physicians during the Last Six Months of Life
    (Year: 2010; Region Levels: State)
    Alabama 33.4%
    Alaska 28.6%
    Arizona 45.7%
    Arkansas 29.9%
    California 41.1%
    Colorado 36.4%
    Connecticut 53.5%
    Delaware 49.5%
    District of Columbia 48.4%
    Florida 51.6%
    Georgia 39.6%
    Hawaii 32.1%
    Idaho 20.0%
    Illinois 43.6%
    Indiana 36.7%
    Iowa 26.2%
    Kansas 30.1%
    Kentucky 37.5%
    Louisiana 40.2%
    Maine 33.0%
    Maryland 50.0%
    Massachusetts 52.0%
    Michigan 46.4%
    Minnesota 34.5%
    Mississippi 35.2%
    Missouri 35.4%
    Montana 21.6%
    Nebraska 31.2%
    Nevada 47.4%
    New Hampshire 42.1%
    New Jersey 57.1%
    New Mexico 29.5%
    New York 52.7%
    North Carolina 41.3%
    North Dakota 25.6%
    Ohio 42.3%
    Oklahoma 29.5%
    Oregon 24.2%
    Pennsylvania 47.9%
    Rhode Island 49.5%
    South Carolina 39.4%
    South Dakota 24.2%
    Tennessee 41.5%
    Texas 40.5%
    Utah 23.7%
    Vermont 28.0%
    Virginia 44.1%
    Washington 34.7%
    West Virginia 34.5%
    Wisconsin 31.0%
    Wyoming 20.6%
    National Average 42.0%
    90th Percentile 51.6%
    50th Percentile 36.7%
    10th Percentile 24.2%
        • DENOMINATOR DEFINITION:
        • 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.

        • NUMERATOR DEFINITION:
        • 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.