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: 2014; Region Levels: State)
    Idaho 23.1%
    Montana 24.5%
    Utah 25.9%
    Wyoming 27.0%
    Oregon 27.1%
    South Dakota 27.6%
    Iowa 29.1%
    North Dakota 29.6%
    Vermont 31.1%
    Alaska 31.8%
    Oklahoma 33.2%
    Wisconsin 33.4%
    Kansas 33.5%
    New Mexico 33.8%
    Hawaii 34.0%
    Maine 34.3%
    Nebraska 34.8%
    Minnesota 35.3%
    Washington 36.2%
    Arkansas 36.5%
    Alabama 37.5%
    Colorado 37.7%
    Mississippi 38.6%
    Missouri 38.8%
    West Virginia 40.2%
    Indiana 40.7%
    Louisiana 41.4%
    New Hampshire 41.8%
    California 42.4%
    Kentucky 42.5%
    South Carolina 43.1%
    Tennessee 43.2%
    Georgia 43.6%
    Texas 43.7%
    North Carolina 44.5%
    Ohio 45.3%
    Illinois 47.2%
    Arizona 47.7%
    Michigan 47.9%
    District of Columbia 48.1%
    Virginia 48.4%
    Nevada 48.6%
    Rhode Island 48.8%
    Pennsylvania 49.5%
    Maryland 50.6%
    Massachusetts 52.1%
    Delaware 52.2%
    New York 53.4%
    Florida 55.2%
    Connecticut 56.1%
    New Jersey 58.1%
    National Average 44.5%
    90th Percentile 52.2%
    50th Percentile 40.7%
    10th Percentile 27.1%
        • 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.