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Cost differences among women's primary care physicians

B A Bartman1, C M Clancy, E Moy

  • 1Department of Medicine, University of Maryland School of Medicine, Baltimore, USA.

Health Affairs (Project Hope)
|January 1, 1996
PubMed
Summary
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Women choose different doctors based on demographics, impacting healthcare use and costs. Choosing an internist as a primary care physician often leads to more visits and higher outpatient spending, especially for younger women.

Area of Science:

  • Health Services Research
  • Medical Economics
  • Sociology of Health & Illness

Background:

  • Physician specialty choice influences healthcare utilization and costs.
  • Understanding patient-physician relationships is crucial for healthcare management.
  • Demographic and socioeconomic factors affect healthcare-seeking behaviors.

Purpose of the Study:

  • To analyze how demographic and socioeconomic factors influence women's choice of primary care physician specialty.
  • To determine the impact of different primary care physician specialties on healthcare utilization and expenditures among women.

Main Methods:

  • Secondary analysis of the 1987 National Medical Expenditure Survey data.
  • Statistical examination of demographic, socioeconomic, and healthcare utilization variables.

Related Experiment Videos

  • Comparison of healthcare use and costs across different physician specialty groups.

    • Main Results:

    • Women with varying characteristics selected different physician specialties as their usual source of care.
    • Primary care by certain physician groups correlated with increased healthcare use and expenditures, particularly for younger women.
    • Identifying an internist as a usual source of care was associated with higher visit rates and total outpatient costs compared to family/general practitioners or obstetrician/gynecologists.

    Conclusions:

    • Physician specialty choice is a significant factor in women's healthcare utilization and spending.
    • Internists as primary care providers may contribute to higher healthcare costs.
    • Further research is needed to explore the implications for healthcare policy and resource allocation.