Provider characteristics: impact on bone density utilization at a health maintenance organization

Menopause : the Journal of the North American Menopause Society
C G SolomonE W Seely

Abstract

Information from bone mineral density (BMD) is relevant in guiding postmenopausal osteoporosis prevention and treatment, yet many providers do not typically order BMDs. This study was designed to identify physician characteristics associated with utilization of bone densitometry in a northeastern US health maintenance organization (HMO). Internal medicine primary providers in practice at a northeastern HMO between April 1997 and March 1998 were categorized by BMD utilization, based on the number of BMDs performed during that time per number of women older than 50 years in their patient panel. In one analysis, providers in the highest quintile for this parameter were considered "high utilizers" (n = 25), and those in the lowest quintile, "low utilizers." These groups were compared with respect to provider characteristics and practice composition. In a second analysis, multiple variable linear regression was used to predict the likelihood of utilization of BMD as a function of those parameters for all providers. The range of BMDs by provider was 0 to 190 per 1,000 women >50 years (median = 34) over this 1-year period. Providers who were high utilizers had a significantly greater number of female patients more than age 50 in their...Continue Reading

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Citations

Mar 24, 2007·European Journal of Clinical Pharmacology·Anita KozyrskyjAmber Racher
Apr 10, 2010·Journal of Women's Health·Laura DavissonRichard Layne
Jun 24, 2004·Journal of General Internal Medicine·Charles A MorrisDaniel H Solomon
Nov 14, 2006·Journal of Clinical Densitometry : the Official Journal of the International Society for Clinical Densitometry·Peter CramAlan Christensen
May 6, 2003·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·D H SolomonJ S Finkelstein
Jan 18, 2017·Journal of Primary Care & Community Health·Phillip T LawrenceGrant W Cannon

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