Article Figures & Data
Tables
2000 2003 2006 Any HCs (n = 2,019) No HCs (n = 24,546) Any HCs (n = 1,768) No HCs (n = 25,254) Any HCs (n = 1,350) No HCs (n = 24,584) Age, mean years (SE) 48.62 (0.27) 47.18 (0.07)* 49.75 (0.31) 47.98 (0.08)* 51.51 (0.33) 48.95 (0.08)* Men (%) 86.38 81.53* 82.65 79.00* 79.49 76.92 Specialty (%) Family physician 33.94 12.30* 37.64 13.31* 34.64 13.07* General internal medicine 34.30 13.96* 32.42 14.38* 38.18 14.53* General practitioner 6.04 1.75* 4.82 1.24* 4.46 0.85* Geriatrician 5.24 0.82* 6.38 0.88* 8.21 1.20* Other 20.47 71.17* 18.74 70.19* 14.50 70.35* MD 89.36 94.68* 89.95 94.28* 87.20 93.73* Solo practice 32.89 22.49* 31.13 18.71* 31.57 18.45* Values provided as percentages unless otherwise indicated.
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↵* P < .05 for within-year comparisons.
SE, standard error.
- Table 2. Weighted Estimated in Trends in House Calls (HCs) by Physician Specialty, 2000–2006
2000 2003 2006 Percent Change 2000 to 2006 Providers making at least one HC, % (SE) Total 7.22 (0.20) 6.26 (0.20) 5.26 (0.19) −27.15 Family physician 17.68 (0.78) 15.88 (0.76) 12.83 (0.73) −27.43 General internal medicine 16.06 (0.75) 13.08 (0.73) 12.73 (0.75) −20.73 General practice 21.16 (2.25) 20.61 (2.82) 22.58 (3.54) 6.71 Geriatricians 33.35 (3.49) 32.54 (3.43) 27.50 (3.10) −17.54 Other 2.19 (0.14) 1.75 (0.14) 1.13 (0.11) −48.40 HCs, n (95% CI*) Total 478,088 (346–611) 700,661 (407–995) 995,294 (657–1,333) 108.18 Family physician 117,525 (60–175) 95,540 (47–144) 173,373 (69–277) 47.52 General internal medicine 211,500 (106–317) 389,931 (113–667) 438,821 (191–687) 107.48 General practitioners 42,476 (−1 to 86) 62,287 (−4 to 128) 116,365 (−5 to 238) 173.96 Geriatricians 41,811 (14–70) 68,022 (22–114) 132,774 (31–234) 217.56 Other 64,775 (30–99) 84,881 (34–136) 133,961 (−12 to 280) 106.81 Patients receiving HCs, n (95% CI*) Total 164,825 (134–195) 218,703 (158–279) 282,526 (187–378) 71.41 Family physician 47,972 (30–66) 36,628 (25–48) 52,869 (26–79) 10.21 General internal medicine 59,993 (44–76) 99,052 (49–149) 122,833 (58–188) 104.75 General practice 15,127 (2–28) 23,221 (5–41) 28,574 (3–54) 88.89 Geriatricians 16,149 (8–24) 24,331 (10–38) 30,597 (13–48) 89.45 Other 25,584 (13–38) 35,471 (10–61) 47,653 (−12 to 107) 86.26 -
↵* In thousands.
SE, standard error; CI, confidence interval.
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- Table 3. Provider and County Characteristics Associated with Making House Calls (HCs) and Being in the Top Decile of Physicians by Volume of HCs Made in 2006
Any HCs (n = 1,350) No HCs (n = 24,584) Adjusted OR (95% CI) High HC Physicians* (n = 122) Low HC Physicians (n = 1,228) Adjusted OR (95% CI) Physician level Age, mean years (SE) 51.51 (0.33) 48.95 (0.08)† 1.03 (1.02–1.04) 51.82 (0.99) 51.45 (0.36) 0.99 (0.95–1.03) Male sex (%) 79.49 76.92 1.28 (1.00–1.62) 76.98 79.87 0.75 (0.33–1.68) Specialty (%) Family physician 34.64 13.07† 0.99 (0.79–1.23) 22.58 36.55 0.89 (0.40–1.96) General internal medicine 38.18 14.53† Ref 46.25 36.94 Ref General practitioner 4.46 0.85† 1.45 (0.78–2.71) 7.33 3.96 1.19 (0.14–10.18) Geriatrician 8.21 1.20† 2.41 (1.57–3.71) 15.33 7.11 1.50 (0.49–4.54) Other 14.50 70.35† 0.08 (0.07–0.11) 8.51 15.45 0.54 (0.24–1.20) Solo practice 31.57 18.45† 1.48 (1.18–1.86) 35.07 31.04 1.32 (0.60–2.89) MD versus DO 87.20 93.73† 0.64 (0.47–0.89) 85.06 87.53 0.43 (0.15–1.30) County level Proportion population 65 years or older 13.22 12.54 1.02 (0.99–1.05) 12.54 13.33 0.94 (0.84–1.04) Physician-to- population ratio 28.77 31.50 0.98 (0.97–0.99) 32.74 28.15 1.03 (1.01–1.06) PCP-to-population ratio 10.83 11.25 1.01 (0.97–1.04) 11.05 10.80 0.89 (0.78–1.00) Medicare managed care penetration rate 13.18 14.43 0.99 (0.98–0.99) 16.05 12.74 1.01 (0.98–1.03) Proportion of population in poverty 12.34 12.85 1.00 (0.98–1.02) 12.24 12.36 0.99 (0.95–1.04) Rural/urban status Metropolitan 82.58 89.01 0.78 (0.57–1.07) 93.62 80.79 3.05 (1.38–6.76) Micropolitan 10.09 8.06 Ref 2.16 11.33 Ref Rural 7.38 2.93 2.54 (1.75–3.67) 4.23 7.87 3.40 (1.04–11.09) Region of practice New England 8.08 6.22 2.28 (1.52–3.43) 4.26 8.67 0.41 (0.11–1.58) Middle Atlantic 31.56 14.96 2.08 (1.74–2.48) 32.92 31.35 0.83 (0.57–1.22) East North Central 17.73 16.63 1.56 (1.11–2.20) 18.52 17.61 0.94 (0.42–2.07) West North Central 4.88 7.35 1.05 (0.72–1.52) 2.22 5.30 0.41 (0.15–1.14) South Atlantic 13.20 19.65 Ref 15.43 12.85 Ref East South Central 3.20 6.17 0.80 (0.52–1.24) 1.03 3.54 0.34 (0.09–1.27) West South Central 5.22 9.74 0.89 (0.56–1.44) 4.30 5.37 0.58 (0.20–1.74) Mountain 4.35 6.04 1.22 (0.81–1.86) 4.25 4.37 0.92 (0.20–4.18) Pacific 11.78 13.23 1.68 (1.03–2.73) 17.07 10.95 1.07 (0.39–2.97)