Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Outpatient Care for Adults With Primary Care

JAMA Intern Med; ePub 2019 Jan 28; Levine, et al

Receipt of primary care in adults is associated with significantly more high-value care, slightly more low-value care, and better health care experience compared to those without primary care. This according to a nationally representative survey study of US adults aged ≥18 years who participated in the Medical Expenditure Panel Survey. Propensity score-weighted quality and experience or care were compared between 49,286 US adults with and 21,133 adults without primary care from 2012 to 2014. Researchers found:

  • From 2002 to 2014, the mean annual survey response rate was 58%.
  • Compared to those without primary care, those with primary care were older, more often females, and predominantly white individuals.
  • US adults with primary care received significantly more high-value care and reported significantly better health access and experience vs those without primary care.
  • Differences were stable from 2002 to 2014.


Levine DM, Landon BE, Linder JA. Quality and experience of outpatient care in the United States for adults with or without primary care. [Published online ahead of print January 28, 2019]. JAMA Intern Med. doi:10.1001/jamainternmed.2018.6716.