Percent of Cancer Patients Seeing 10 or More Different Physicians during the Last Six Months of Life
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    Percent of Cancer Patients Seeing 10 or More Different Physicians during the Last Six Months of Life
    (Year: 2012; Region Levels: State)
    New Jersey 75.5%
    Connecticut 75.0%
    New York 71.9%
    Massachusetts 70.4%
    Pennsylvania 69.8%
    Florida 69.5%
    Delaware 69.2%
    Maryland 68.2%
    Arizona 67.5%
    Virginia 66.4%
    Rhode Island 65.7%
    Michigan 65.3%
    District of Columbia 65.1%
    Nevada 64.5%
    Illinois 62.4%
    Ohio 62.2%
    New Hampshire 61.1%
    North Carolina 60.6%
    California 59.7%
    Georgia 59.0%
    Texas 58.3%
    Tennessee 58.0%
    South Carolina 57.1%
    Colorado 56.4%
    Indiana 55.7%
    Kentucky 54.2%
    Washington 54.1%
    Louisiana 54.0%
    Minnesota 53.6%
    Maine 53.3%
    Missouri 52.9%
    Nebraska 52.8%
    Alabama 52.5%
    Wisconsin 52.4%
    Mississippi 51.9%
    West Virginia 51.8%
    Hawaii 51.6%
    Vermont 50.5%
    North Dakota 49.3%
    Alaska 49.1%
    South Dakota 49.1%
    New Mexico 48.8%
    Iowa 48.6%
    Kansas 46.7%
    Utah 45.2%
    Oklahoma 45.1%
    Arkansas 45.1%
    Oregon 41.1%
    Wyoming 40.8%
    Montana 37.4%
    Idaho 37.2%
    National Average 61.7%
    90th Percentile 69.8%
    50th Percentile 54.2%
    10th Percentile 45.1%
        • We identified a 20% sample of all Medicare beneficiaries who died between the ages of 66 and 99 years during the period 2003-07. Data for 2010-12 are based on a 100% sample of claims. We excluded beneficiaries without continuous Part A and Part B coverage in the last six months of life or who were enrolled in Medicare health maintenance organizations (i.e., Medicare Advantage). From these decedents, we identified those with poor prognosis cancer diagnoses on at least one hospital claim or at least two clinician visits in the last six months of life. We then categorized decedents into one of 26 cancer types based on their predominant cancer diagnosis using a modified Clinical Classification Software (CCS) approach; please see the Methods of our cancer report for details.

        • 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:
        • Although all of these patients died of serious cancer, groups of patients across hospitals or regions may have differed by other characteristics such as the composition of age, sex or race. All rates are adjusted with the following patient level characteristics: age, race (black/non-black), sex, cancer type, and non-cancer chronic conditions.


    © 2018 The Trustees of Dartmouth College | 35 Centerra Parkway, Lebanon, NH 03766 | (603) 653-0800

    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.