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Table 2 Comparison of Healthcare Utilization Between Medicare Beneficiaries with a Majority of Primary Care Clinician Visits to an FQHC in 2013 and Medicare Beneficiaries Who Received Primary Care Elsewhere

From: Utilization of health care services among Medicare beneficiaries who visit federally qualified health centers

Ā 

FQHC Users (nā€‰=ā€‰130,569)

Unmatched FQHC Non-Users (nā€‰=ā€‰1,000,000)

Matched FQHC Non-Users (nā€‰=ā€‰130,569)

Mean number of visits

Percent of beneficiaries with at least one

Mean number of visits

Percent of beneficiaries with at least one

Mean number of visits

Percent of beneficiaries with at least one

Ambulatory Visits

ā€ƒAny ambulatory visit

10.0

100.0%

12.0ā€ 

100.0%

11.2ā€ 

100.0%

ā€ƒā€ƒPrimary care

6.2

100.0%

6.7ā€ 

100.0%

6.8ā€ 

100.0%

ā€ƒā€ƒSpecialty care

3.8

73.7%

5.3ā€ 

83.8%ā€ 

4.5ā€ 

78.1%ā€ 

ā€ƒAt an FQHC

5.8

100.0%

0.0ā€ 

0.0%ā€ 

0.0ā€ 

0.0%ā€ 

ā€ƒā€ƒPrimary care

5.5

100.0%

0.0ā€ 

0.0%ā€ 

0.0ā€ 

0.0%ā€ 

ā€ƒā€ƒSpecialty care

0.3

9.8%

0.0ā€ 

0.0%ā€ 

0.0ā€ 

0.0%ā€ 

ā€ƒAt site other than FQHC

4.2

77.3%

12.0ā€ 

100.0%ā€ 

11.2ā€ 

100.0%ā€ 

ā€ƒā€ƒPrimary care

0.7

33.7%

6.7ā€ 

100.0%ā€ 

6.8ā€ 

100.0%ā€ 

ā€ƒā€ƒSpecialty care

3.5

70.9%

5.3ā€ 

83.8%ā€ 

4.5ā€ 

78.1%ā€ 

ED visits

ā€ƒAny ED visit

1.2

44.5%

0.8ā€ 

39.3%ā€ 

1.0ā€ 

41.5%ā€ 

ā€ƒā€ƒChronic ACSC

0.1

5.9%

0.1ā€ 

4.6%ā€ 

0.1ā€ 

4.8%ā€ 

ā€ƒā€ƒOther

1.1

42.7%

0.8ā€ 

37.8%t

0.9ā€ 

40.0%ā€ 

ā€ƒWith admission only

0.2

13.3%

0.2ā€ 

15.8%ā€ 

0.2*

12.7%ā€ 

ā€ƒā€ƒChronic ACSC

0.0

2.2%

0.0

2.3%

0.0*

2.0%*

ā€ƒā€ƒOther

0.2

11.9%

0.2ā€ 

14.6%ā€ 

0.2*

11.4%*

ā€ƒWithout admission only

1.0

39.8%

0.6ā€ 

31.9%ā€ 

0.8ā€ 

36.4%ā€ 

ā€ƒā€ƒChronic ACSC

0.1

4.3%

0.0ā€ 

2.7%ā€ 

0.0ā€ 

3.3%ā€ 

ā€ƒā€ƒOther

0.9

38.3%

0.6ā€ 

30.8%ā€ 

0.8ā€ 

35.2%ā€ 

Hospitalizations

ā€ƒAny hospitalization

0.3

19.1%

0.4ā€ 

23.0%ā€ 

0.3

18.8%

ā€ƒā€ƒChronic ACSC

0.0

2.9%

0.0

2.9%

0.0

2.6%*

ā€ƒā€ƒOther

0.3

17.6%

0.3ā€ 

21.7%ā€ 

0.3

17.5%

  1. The unmatched analysis compares FQHC users and all 1,000,000 FQHC non-users. The matched analysis compares FQHC users and a subset of all 1,000,000 non-users after a 1:1 propensity match between FQHC users and FQHC non-users
  2. *pā€‰<ā€‰0.05; ā€ pā€‰<ā€‰0.001
  3. FQHC Federally Qualified Health Center, ACSC Ambulatory Care Sensitive Condition, ED Emergency Department