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Physician Visits per Decedent, by Interval Before Death and Specialty
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    Region
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    Physician Visits per Decedent, by Interval Before Death and Specialty
    (Interval Before Death: Last Two Years of Life; Specialty: Overall; Year: 2014; Region Levels: State)
    Montana 31.0
    Idaho 31.2
    Utah 33.4
    Oregon 34.0
    Vermont 34.6
    Alaska 34.7
    Maine 35.2
    North Dakota 35.4
    Minnesota 35.6
    Wyoming 36.1
    South Dakota 36.7
    Iowa 38.6
    Washington 39.0
    New Mexico 39.1
    Wisconsin 39.5
    New Hampshire 39.7
    Colorado 42.1
    North Carolina 44.1
    Oklahoma 44.6
    Kansas 45.3
    Nebraska 46.1
    Rhode Island 47.1
    Missouri 47.5
    Arkansas 48.6
    Tennessee 49.0
    South Carolina 49.3
    Indiana 49.4
    Mississippi 49.8
    West Virginia 49.9
    Virginia 50.6
    Hawaii 50.6
    Massachusetts 50.6
    Georgia 51.5
    Maryland 51.6
    Ohio 52.0
    Alabama 52.0
    District of Columbia 52.4
    Kentucky 52.5
    Connecticut 55.1
    Delaware 56.2
    Michigan 56.3
    Pennsylvania 56.4
    Louisiana 56.9
    Arizona 59.4
    Illinois 60.5
    Texas 61.4
    California 65.5
    New York 65.5
    Nevada 70.7
    Florida 73.0
    New Jersey 77.0
    National Average 54.9
    90th Percentile 65.5
    50th Percentile 49.3
    10th Percentile 34.6
        • FOOTNOTES:
        • Primary care physicians include those specializing in family practice, internal medicine and pediatrics. Medical specialists include those specializing in immunology, cardiology, critical care, dermatology, emergency medicine, endocrinology, gastroenterology, geriatrics, hematology/oncology, infectious disease, nephrology, neurology, physical medicine/rehabilitation, pulmonology, radiation oncology, rheumatology and osteopathic medicine.

        • 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:
        • Includes all visits for which there was an evaluation & management claim in the Part B file. Visits occurring in federally qualified health centers and rural health centers, determined from the Outpatient file, were also included.

        • 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.