Quality of US primary care delivered by resident and staff physicians.

Journal of General Internal Medicine
Leah ZallmanKaren E Lasser

Abstract

Few population-based data are available on the quality of outpatient care provided by resident physicians in the US. To assess the quality of outpatient care delivered by resident and staff physicians. Cross-sectional analysis. We used chi-square tests to compare resident and staff physician performance on 19 quality indicators. Using multivariable logistic regression, we controlled for sex, age, race/ethnicity, insurance, and metropolitan status. 33,900 hospital-based outpatient visits from the 1997-2004 National Hospital Ambulatory Medical Care Survey (NHAMCS). Resident and staff physician performance on 19 quality indicators. Resident physicians were more likely to care for younger, non-white, female, urban, and Medicaid-insured patients. In both adjusted and unadjusted analyses, residents outperformed staff on four of 19 measures including angiotensin converting enzyme inhibitor use for congestive heart failure (57.0% vs. 27.6%; p=<0.001), diuretic use for hypertension (57.8% vs. 44.0%; p=<0.001), statin use for hyperlipidemia (56.3% vs. 40.4%; p=0.001), and routine blood pressure screening (85.3% vs. 79.6%; p=0.02). Residents and staff performed at similar levels for counseling (range 15.7 to 32.0%). Residents and staff pe...Continue Reading

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Citations

Apr 29, 2014·The American Journal of Medicine·Lauren DoctoroffKenneth J Mukamal
Dec 23, 2014·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Laila KhalidKaren E Lasser
Jan 21, 2016·Annual Review of Public Health·Kevin Fiscella, Mechelle R Sanders
Apr 4, 2015·Hospital Pediatrics·David P JohnsonDerek J Williams
Sep 2, 2017·The Journal of Antimicrobial Chemotherapy·Chrysanthi PapoutsiGeoff Wong
Jan 23, 2021·Journal of General Internal Medicine·Maelys AmatKelly L Graham
Jan 2, 2021·The American Journal of Medicine·Stephen R HoltBenjamin Doolittle
Sep 23, 2021·ACR Open Rheumatology·Jon M BurnhamJoyce C Chang

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