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Research ArticleResearch Letter

Provision of Palliative Care Services by Family Physicians Is Common

Claire K. Ankuda, Anuradha Jetty, Andrew Bazemore and Stephen Petterson
The Journal of the American Board of Family Medicine March 2017, 30 (2) 255-257; DOI: https://doi.org/10.3122/jabfm.2017.02.160230
Claire K. Ankuda
From the Robert Wood Johnson Clinical Scholars Program and the Department of Family Medicine, University of Michigan, Ann Arbor (CKA); and the Robert Graham Center, Washington, DC (AJ, AB, SP).
MD, MPH
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Anuradha Jetty
From the Robert Wood Johnson Clinical Scholars Program and the Department of Family Medicine, University of Michigan, Ann Arbor (CKA); and the Robert Graham Center, Washington, DC (AJ, AB, SP).
MPH
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Andrew Bazemore
From the Robert Wood Johnson Clinical Scholars Program and the Department of Family Medicine, University of Michigan, Ann Arbor (CKA); and the Robert Graham Center, Washington, DC (AJ, AB, SP).
MD, MPH
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Stephen Petterson
From the Robert Wood Johnson Clinical Scholars Program and the Department of Family Medicine, University of Michigan, Ann Arbor (CKA); and the Robert Graham Center, Washington, DC (AJ, AB, SP).
PhD
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Article Figures & Data

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    Table 1.

    Characteristics of American Board of Family Medicine Diplomates Providing Palliative Care

    Characteristics (n)Diplomates (n)Provides Palliative Care
    Diplomates, n (%)OR (95% CI)
    All10,8943,609 (33.13)
    Palliative-specific practices
        Routinely see patients in hospice733616 (84.04)5.77 (4.62–7.19)*
        Routinely see patients in nursing home1,6411,086 (66.20)3.40 (3.05–3.80)*
        Routinely makes home visits2,4741,609 (65.04)2.36 (2.07 to −2.69)*
        Certified in hospice and palliative medicine241227 (94.19)
    Sex
        Male6,8912,475 (35.92)Reference
        Female4,0031,134 (28.33)0.96 (0.87 −1.06)*
    Region of practice
        South3,6871,088 (29.51)Reference
        Northeast1,579558 (35.34)1.07 (0.93 to −1.24)
        West2,661856 (32.17)1.16 (1.03 to −1.32)†
        Midwest2,9421,100 (37.39)1.07 (0.95 to −1.21)
    Race
        White8,7433,172 (36.28)Reference
        Black65999 (15.02)0.36 (0.28 to −0.46)*
        Asian1,300287 (22.08)0.62 (0.53–0.73)*
        Other19251 (26.56)0.67 (0.47 to −0.96)†
    Years in practice
        0–102,983811 (27.20)Reference
        11–203,4611,076 (31.09)1.17 (1.04 to −1.32)†
        21–303,2781,242 (37.89)1.32 (1.70 to −1.50)*
        ≥311,171479 (40.91)1.36 (1.15 to −1.60)*
    Ethnicity
        Non-Hispanic10,2583,452 (33.65)Reference
        Hispanic636157 (24.69)0.74 (0.60–0.92)*
    Rurality
        Urban (population >50,000)9,0792,662 (29.32)Reference
        Population 20,000–50,000740325 (43.92)1.38 (1.16 to −1.64)*
        Population 2,500–19,999926524 (56.59)2.05 (1.75 to −2.40)*
        Rural (population <2,500)14998 (65.77)2.38 (1.61 to −3.50)*
    Practice size
        Large (>20 providers)1,929582 (30.17)Reference
        Medium (6–20 providers)3,3821,106 (32.70)1.02 (0.89 to −1.17)*
        Small (2–5 providers)3,9021,342 (34.39)1.06 (0.93 to −1.22)*
        Solo1,681579 (34.44)1.10 (0.93 to −1.30)*
    PCMH status
        Neither applicant nor certified4,7581330 (36.90)Reference
        PCMH applicant3,5621,380 (38.20)1.54 (1.38 to −1.70)*
        PCMH certified2,574899 (24.90)1.73 (1.54 to −1.96)*
    • Source: 2013 American Board of Family Medicine Maintenance of Certification Demographic Survey.

    • ↵* P < .001.

    • ↵† P < .05.

    • CI, confidence interval; OR, odds ratio; PCMH, patient-centered medical home.

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The Journal of the American Board of Family     Medicine: 30 (2)
The Journal of the American Board of Family Medicine
Vol. 30, Issue 2
March-April 2017
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Provision of Palliative Care Services by Family Physicians Is Common
Claire K. Ankuda, Anuradha Jetty, Andrew Bazemore, Stephen Petterson
The Journal of the American Board of Family Medicine Mar 2017, 30 (2) 255-257; DOI: 10.3122/jabfm.2017.02.160230

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Provision of Palliative Care Services by Family Physicians Is Common
Claire K. Ankuda, Anuradha Jetty, Andrew Bazemore, Stephen Petterson
The Journal of the American Board of Family Medicine Mar 2017, 30 (2) 255-257; DOI: 10.3122/jabfm.2017.02.160230
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Keywords

  • Certification; Cross-Sectional Studies; Delivery of Health Care; Demography; Geriatrics; Hospice Care; Hospices; House Calls; Nursing Homes; Palliative Care; Physicians
  • Family; Primary Care Physicians

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