Reports from RTI International Provide New Insights into Internal Medicine (Use of Primary Care and Specialty Providers: Findings from the Medical Expenditure Panel Survey)

2020 APR 28 (NewsRx) -- By a News Reporter-Staff News Editor at Health Policy and Law Daily -- Investigators discuss new findings in Health and Medicine - Internal Medicine. According to news reporting originating from Research Triangle Park, North Carolina, by NewsRx editors, the research stated, “A comprehensive picture of how the US population engages in specialty care use is lacking, even though redesign models focused on specialty care are becoming more popular. To describe the type of provider, primary care or specialist, most often seen by individuals, to test associations between type of provider most often seen and insurance coverage, and to test associations between the number of generalist and specialist visits and insurance coverage.”

Financial support for this research came from RTI International.

Our news editors obtained a quote from the research from RTI International, “Cross-sectional analysis of 2013-2016 Medicaid Expenditure Panel Survey. Logistic and negative binomial models were used in multivariate regression modeling. Depending on the analysis, the study samples include between 71,402 and 79,518 US residents. Individuals’ provider type most often seen, primary care visits, and specialist visits were reported. More than half of the sample (55%) predominantly visited primary care providers (or generalists), and 36% predominantly visited specialists. Among individuals primarily visiting generalists, 80% visited only one type of primary care provider, and 24% also visited one or more specialists. Among individuals primarily visiting specialists, 48% visited only one type of specialist, and 47% did not visit any generalists in the year. Among Medicare enrollees, 50% predominantly visited specialists, and 40% predominantly visited generalists. Medicare enrollment was associated with greater odds of predominantly visiting specialists (p <0.05), and Medicare-Medicaid enrollment and having no insurance were associated with lower odds of predominantly visiting specialists (p <0.05). Medicare enrollment was associated with 13% more generalist visits and 35% more specialist visits, and Medicare-Medicaid enrollment was associated with 38% more generalist visits and 15% more specialist visits (all p<0.05).”

According to the news editors, the research concluded: “Given the overall frequency of specialty care use and the reliance on multiple specialists in any given year, particularly among Medicare enrollees, public payers are uniquely positioned to promote specialty care redesign and champion improved coordination between specialists.”

For more information on this research see: Use of Primary Care and Specialty Providers: Findings from the Medical Expenditure Panel Survey. Journal of General Internal Medicine, 2020;():. Journal of General Internal Medicine can be contacted at: Springer, 233 Spring Street, New York, NY 10013, USA. (Wiley-Blackwell - http://www.wiley.com/; Journal of General Internal Medicine - http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1525-1497)

The news editors report that additional information may be obtained by contacting M.A. Romaire, RTI International, Research Triangle Park, NC, United States.

The direct object identifier (DOI) for that additional information is: https://doi.org/10.1007/s11606-020-05773-7. This DOI is a link to an online electronic document that is either free or for purchase, and can be your direct source for a journal article and its citation.

Publisher contact information for the Journal of General Internal Medicine is: Springer, 233 Spring Street, New York, NY 10013, USA.

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