PURPOSE The impact of comorbidity on use of primary care and specialty services is poorly
understood. The purpose of this study was to determine the relationship between morbidity …

BACKGROUND Although comorbidity is very common in the population, little is known about
the types of health service that are used by people with comorbid conditions. METHODS …

Abstract Approximately 7 of 10 (and 95% of the elderly) people in US health plans see one
or more specialists in a year. Controlling for extent of morbidity, discontinuity of primary care …

Background The prevalence, health care expenditures, and hospitalization experiences are
important considerations among elderly populations with multiple chronic conditions …

Context.—Despite increased emphasis on primary care in the United States, most care
continues to be provided by specialists. The extent to which specialists incorporate elements …

Background Population aging poses significant challenges to primary care providers and
healthcare policy makers. Primary care reform can alleviate the pressures, but these …

This systematic literature review identified and summarized 35 studies that investigated the
relationship between multiple chronic conditions (MCCs) and health care utilization …

PURPOSE Increasing use of specialist services in the United States is leading to a
perception of a specialist shortage. Little is known, however, about the nature of care …

BACKGROUND. Increasing enrollment in managed care organizations and dissatisfaction
with policies to restrict direct access to specialists have intensified interest in referrals from …

Background The prevalence of multiple chronic diseases is increasing and is a common
problem for primary health care providers. This study sought to determine the patient and …