Percent of Decedents Seeing 10 or More Different Physicians during the Last Six Months of Life
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    (Click a region name
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    Percent of Decedents Seeing 10 or More Different Physicians during the Last Six Months of Life
    (Year: 2014; Region Levels: State)
    Alabama 37.5%
    Alaska 31.8%
    Arizona 47.7%
    Arkansas 36.5%
    California 42.4%
    Colorado 37.7%
    Connecticut 56.1%
    Delaware 52.2%
    District of Columbia 48.1%
    Florida 55.2%
    Georgia 43.6%
    Hawaii 34.0%
    Idaho 23.1%
    Illinois 47.2%
    Indiana 40.7%
    Iowa 29.1%
    Kansas 33.5%
    Kentucky 42.5%
    Louisiana 41.4%
    Maine 34.3%
    Maryland 50.6%
    Massachusetts 52.1%
    Michigan 47.9%
    Minnesota 35.3%
    Mississippi 38.6%
    Missouri 38.8%
    Montana 24.5%
    Nebraska 34.8%
    Nevada 48.6%
    New Hampshire 41.8%
    New Jersey 58.1%
    New Mexico 33.8%
    New York 53.4%
    North Carolina 44.5%
    North Dakota 29.6%
    Ohio 45.3%
    Oklahoma 33.2%
    Oregon 27.1%
    Pennsylvania 49.5%
    Rhode Island 48.8%
    South Carolina 43.1%
    South Dakota 27.6%
    Tennessee 43.2%
    Texas 43.7%
    Utah 25.9%
    Vermont 31.1%
    Virginia 48.4%
    Washington 36.2%
    West Virginia 40.2%
    Wisconsin 33.4%
    Wyoming 27.0%
    National Average 44.5%
    90th Percentile 52.2%
    50th Percentile 40.7%
    10th Percentile 27.1%
        • Click here to read about changes in methods between the 2001-05 and 2003-07 analyses. The study population includes beneficiaries with one of nine chronic conditions who were enrolled in traditional (fee-for-service) Medicare and died during the measurement period. To allow for two years of follow-back for all patients, the population is restricted to those whose age on the date of death was 67 to 99 years, and to those having full Part A and Part B entitlement throughout the last two years of life. Persons enrolled in managed care organizations were excluded from the analysis. For the hospital-specific analyses, patients had to be hospitalized for chronic illness at least once during their last two years of life to be included. For regional analyses, all patients diagnosed with a chronic illness were included.

        • 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:
        • Rates are adjusted for age, sex, race, primary chronic condition, and the presence of more than one chronic condition using ordinary least squares regression.


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    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.