FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2939031109> ?p ?o ?g. }

• W2939031109 endingPage "1191" @default.
• W2939031109 startingPage "1184" @default.
• W2939031109 abstract "Outpatient primary care experience is vital to internal medicine resident training but may impact quality and equity of care delivered in practices that include resident physicians. Understanding whether quality differences exist among resident and staff primary care physicians (PCPs) may present an opportunity to address health disparities within academic medical centers.To determine whether there are differences in the quality of primary care provided by resident PCPs compared to staff PCPs.A retrospective cohort study with a propensity-matched analysis.143,274 patients, including 10,870 patients managed by resident PCPs, seen in 16 primary care practices affiliated with an academic medical center.Guideline-concordant chronic disease management of diabetes (HbA1c, LDL) and coronary artery disease (LDL), preventive breast, cervical, and colorectal cancer screening, and resource utilization measures including emergency department (ED) visits, hospitalizations, high-cost imaging, and patient-reported health experience.At baseline, there were significant differences in sociodemographic and clinical characteristics between resident and staff physician patients. Resident patients were less likely to achieve chronic disease and preventive cancer screening outcome measures including LDL at goal (adjusted OR [aOR] 0.77 [95% CI 0.65, 0.92]) for patients with coronary artery disease; HbA1c at goal (aOR 0.73 [95% CI 0.62, 0.85]) for patients with diabetes; breast (aOR 0.56 [95% CI 0.49, 0.63]), cervical (aOR 0.66 [95% CI 0.60, 0.74]), and colorectal (aOR 0.72 [95% CI 0.65, 0.79] cancer screening. Additionally, resident patients had higher rates of ED visits and hospitalizations but lower rates of high-cost imaging. Resident patients reported lower rates of satisfaction with certain access to care and communication measures. Similar outcomes were noted in propensity-matched sensitivity analyses.After controlling for differences in sociodemographic and clinical factors, resident patients were less likely to achieve chronic disease and preventive cancer screening outcomes compared to staff patients. Further efforts to address ambulatory trainee education and primary care quality along with novel approaches to the management of the disproportionately disadvantaged resident patient panels are needed." @default.
• W2939031109 created "2019-04-25" @default.
• W2939031109 creator A5010423305 @default.
• W2939031109 creator A5011065106 @default.
• W2939031109 creator A5020290782 @default.
• W2939031109 creator A5050981927 @default.
• W2939031109 creator A5052122471 @default.
• W2939031109 creator A5061398003 @default.
• W2939031109 creator A5068806767 @default.
• W2939031109 date "2019-04-08" @default.
• W2939031109 modified "2023-10-16" @default.
• W2939031109 title "Disparities in Quality of Primary Care by Resident and Staff Physicians: Is There a Conflict Between Training and Equity?" @default.
• W2939031109 cites W1552039880 @default.
• W2939031109 cites W1803231734 @default.
• W2939031109 cites W1910439102 @default.
• W2939031109 cites W1973659248 @default.
• W2939031109 cites W1978203095 @default.
• W2939031109 cites W1980313851 @default.
• W2939031109 cites W1994833207 @default.
• W2939031109 cites W1997021268 @default.
• W2939031109 cites W1998596349 @default.
• W2939031109 cites W2000445173 @default.
• W2939031109 cites W2006296972 @default.
• W2939031109 cites W2007067913 @default.
• W2939031109 cites W2011857874 @default.
• W2939031109 cites W2013838891 @default.
• W2939031109 cites W2022187306 @default.
• W2939031109 cites W2026676783 @default.
• W2939031109 cites W2034384919 @default.
• W2939031109 cites W2034978724 @default.
• W2939031109 cites W2036017766 @default.
• W2939031109 cites W2045510455 @default.
• W2939031109 cites W2045858703 @default.
• W2939031109 cites W2046104844 @default.
• W2939031109 cites W2047581929 @default.
• W2939031109 cites W2050873084 @default.
• W2939031109 cites W2051709625 @default.
• W2939031109 cites W2072250234 @default.
• W2939031109 cites W2072536480 @default.
• W2939031109 cites W2075597531 @default.
• W2939031109 cites W2084447192 @default.
• W2939031109 cites W2087077094 @default.
• W2939031109 cites W2092122223 @default.
• W2939031109 cites W2102673745 @default.
• W2939031109 cites W2103037658 @default.
• W2939031109 cites W2111183181 @default.
• W2939031109 cites W2121470298 @default.
• W2939031109 cites W2136636673 @default.
• W2939031109 cites W2138139864 @default.
• W2939031109 cites W2144707054 @default.
• W2939031109 cites W2145225199 @default.
• W2939031109 cites W2155163959 @default.
• W2939031109 cites W2163406783 @default.
• W2939031109 cites W2164957697 @default.
• W2939031109 cites W2279318952 @default.
• W2939031109 cites W2336257720 @default.
• W2939031109 cites W2461020191 @default.
• W2939031109 cites W24733793 @default.
• W2939031109 cites W2478881848 @default.
• W2939031109 cites W2532551703 @default.
• W2939031109 cites W2756523689 @default.
• W2939031109 cites W2772560675 @default.
• W2939031109 cites W2981427682 @default.
• W2939031109 cites W35465158 @default.
• W2939031109 cites W4241948002 @default.
• W2939031109 cites W4252610586 @default.
• W2939031109 cites W4302219940 @default.
• W2939031109 doi "https://doi.org/10.1007/s11606-019-04960-5" @default.
• W2939031109 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/6614525" @default.
• W2939031109 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/30963439" @default.
• W2939031109 hasPublicationYear "2019" @default.
• W2939031109 type Work @default.
• W2939031109 sameAs 2939031109 @default.
• W2939031109 citedByCount "17" @default.
• W2939031109 countsByYear W29390311092019 @default.
• W2939031109 countsByYear W29390311092021 @default.
• W2939031109 countsByYear W29390311092022 @default.
• W2939031109 countsByYear W29390311092023 @default.
• W2939031109 crossrefType "journal-article" @default.
• W2939031109 hasAuthorship W2939031109A5010423305 @default.
• W2939031109 hasAuthorship W2939031109A5011065106 @default.
• W2939031109 hasAuthorship W2939031109A5020290782 @default.
• W2939031109 hasAuthorship W2939031109A5050981927 @default.
• W2939031109 hasAuthorship W2939031109A5052122471 @default.
• W2939031109 hasAuthorship W2939031109A5061398003 @default.
• W2939031109 hasAuthorship W2939031109A5068806767 @default.
• W2939031109 hasBestOaLocation W29390311091 @default.
• W2939031109 hasConcept C126322002 @default.
• W2939031109 hasConcept C159110408 @default.
• W2939031109 hasConcept C167135981 @default.
• W2939031109 hasConcept C194828623 @default.
• W2939031109 hasConcept C195910791 @default.
• W2939031109 hasConcept C2780724011 @default.
• W2939031109 hasConcept C512399662 @default.
• W2939031109 hasConcept C71924100 @default.
• W2939031109 hasConceptScore W2939031109C126322002 @default.
• W2939031109 hasConceptScore W2939031109C159110408 @default.
• W2939031109 hasConceptScore W2939031109C167135981 @default.

• next