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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 Six Months of Life; Specialty: Overall; Year: 2010; Region Levels: State)
    Alabama 25.8
    Alaska 16.2
    Arizona 31.0
    Arkansas 24.5
    California 36.8
    Colorado 21.0
    Connecticut 28.9
    Delaware 29.4
    District of Columbia 31.4
    Florida 38.2
    Georgia 26.4
    Hawaii 25.8
    Idaho 14.1
    Illinois 33.7
    Indiana 25.5
    Iowa 18.6
    Kansas 23.0
    Kentucky 27.9
    Louisiana 31.6
    Maine 16.8
    Maryland 27.7
    Massachusetts 25.6
    Michigan 30.7
    Minnesota 18.4
    Mississippi 26.2
    Missouri 25.1
    Montana 14.9
    Nebraska 23.6
    Nevada 39.4
    New Hampshire 19.5
    New Jersey 44.9
    New Mexico 19.2
    New York 36.7
    North Carolina 21.8
    North Dakota 16.8
    Ohio 27.1
    Oklahoma 23.8
    Oregon 15.8
    Pennsylvania 30.5
    Rhode Island 24.3
    South Carolina 24.4
    South Dakota 19.0
    Tennessee 26.3
    Texas 33.1
    Utah 14.4
    Vermont 15.3
    Virginia 25.7
    Washington 18.5
    West Virginia 26.3
    Wisconsin 19.9
    Wyoming 16.6
    National Average 29.1
    90th Percentile 36.7
    50th Percentile 25.5
    10th Percentile 15.8
        • 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.