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