Association between Primary Care Physician Characteristics and Low Value Care Spending of Attributed Medicare Patients
Characteristic | Panel A: OLS Estimates | Panel B: Logit Odds Ratios | ||
---|---|---|---|---|
Physician Characteristics | ||||
Allopath | −1.604† | 0.461 | 0.655† | 0.088 |
Female | −0.570 | 0.453 | 1.012 | 0.149 |
Non-US Medical Graduate | −0.232 | 0.415 | 0.985 | 0.113 |
Patient Size | ||||
<50 | −4.121‡ | 0.572 | 0.323‡ | 0.053 |
50 to 149 | −2.775‡ | 0.468 | 0.417‡ | 0.056 |
150 to 299 | −1.809‡ | 0.417 | 0.542‡ | 0.070 |
300+ | Reference | Reference | ||
Specialty | ||||
Internal Medicine | Reference | Reference | ||
Family Medicine | −1.063† | 0.318 | 0.702‡ | 0.067 |
Other Specialty | −1.057 | 0.654 | 0.818 | 0.193 |
Graduation Year | ||||
Pre-1980 | Reference | Reference | ||
1980 to 1989 | −0.161 | 0.383 | 1.090 | 0.124 |
1990 to 2000 | −0.730 | 0.409 | 0.973 | 0.112 |
Post-2000 | −1.564* | 0.634 | 0.720 | 0.159 |
Practice Region | ||||
Northeast | Reference | Reference | ||
Midwest | −2.765‡ | 0.456 | 0.407‡ | 0.060 |
South | 0.330 | 0.487 | 1.059 | 0.136 |
West | 0.028 | 0.573 | 0.998 | 0.153 |
Rural | −1.715‡ | 0.331 | 0.522‡ | 0.080 |
Patient Characteristics | ||||
Age (years) | ||||
65 to 69 | Reference | Reference | ||
70 to 74 | −0.035 | 0.040 | 0.995 | 0.010 |
75 to 79 | −0.063 | 0.035 | 0.989 | 0.010 |
80 to 84 | −0.129‡ | 0.034 | 0.983 | 0.010 |
85+ | −0.334‡ | 0.025 | 0.923‡ | 0.007 |
Female | −0.042† | 0.015 | 0.984† | 0.005 |
Race/Ethnicity | ||||
White | Reference | Reference | ||
Black | −0.067‡ | 0.012 | 0.985‡ | 0.004 |
Other | −0.038 | 0.020 | 0.991 | 0.005 |
ElixHauser Comorbidity Index | ||||
0 | Reference | Reference | ||
1 to 2 | 0.050* | 0.024 | 1.015 | 0.009 |
3 to 5 | 0.213‡ | 0.031 | 1.058‡ | 0.007 |
6+ | 0.307‡ | 0.088 | 1.049‡ | 0.011 |
Practice Location Characteristics | ||||
<12 years schooling | −0.097† | 0.034 | 0.978* | 0.011 |
Black | 0.052‡ | 0.012 | 1.015‡ | 0.004 |
Hispanic | 0.104‡ | 0.016 | 1.028‡ | 0.004 |
<200% FPL | −0.077‡ | 0.015 | 0.979‡ | 0.005 |
Number of Observations | 6,905 |
FPL, federal poverty line; OLS, ordinary least squares. Note: The dependent variable for Panel A was per-patient low value care (LVC) Medicare spending in dollar amounts, while the OR ratios in Panel B were calculated from logit regression results, where the dependent variable was equal to 1 if the primary care physician's (PCP's) per-patient LVC Medicare spending was in the top quintile. Both models were estimated using sample weights that reflect the oversampling of physicians in smaller states. For graphical representations of the estimates of PCP characteristics, see Figure 2 for Panel A and Figure 3 for Panel B.
↵* P < .05.
↵† P < .01.
↵‡ P < .001.