Distinguished or Deadly?- Physician Age and Its Association with Patient Mortality
Nov 11, 2023
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In this episode, experts Miyawaki A, Jena AB, Burke LG, Figueroa JF, and Tsugawa Y delve into groundbreaking research linking physician age to patient mortality. They reveal alarming findings that suggest younger emergency physicians may lead to better outcomes for older patients. The discussion expands to the ongoing debate about the quality of care from physicians over 50, stressing the importance of continual education to address potential challenges in healthcare delivery. Insights into policy implications and the future of medical practice are also highlighted.
Younger emergency physicians under 40 demonstrate significantly lower seven-day mortality rates in Medicare patients compared to those 50 and older.
The study emphasizes the need for continued education for older physicians to adapt to evolving medical standards and enhance patient outcomes.
Deep dives
Impact of Physician Age on Patient Mortality
The study examines the association between the age of emergency physicians and the seven-day mortality rates of Medicare patients aged 65 to 89 years following emergency department visits. Findings indicate that younger physicians, particularly those under 40 years, have lower mortality rates compared to their older counterparts. Specifically, the overall seven-day mortality rate was found to increase incrementally with the age of the physician, with significant differences noted between those under 40 and those aged 50 and over. This suggests that not only physician age but also factors related to healthcare settings may influence patient outcomes.
Methodology and Data Insights
The research employed a retrospective observational design using Medicare claims data from 2016 to 2017, assessing over 2.6 million emergency department visits across more than 32,000 physicians. The study established clear inclusion and exclusion criteria to focus on patients treated by designated emergency medicine specialists. Additionally, it performed various secondary analyses to adjust for confounding factors, such as the physician's years of practice and patient characteristics including chronic conditions and income levels. The results consistently revealed that older physicians had higher mortality rates associated with their patients, particularly for those with higher severity of illness.
Conclusions and Implications for Practice
The authors conclude that the age of emergency physicians is correlated with increased mortality rates for elderly patients in emergency care, a trend that appears significant across various measures. The analysis also highlights the finding that older physicians tend to work in rural, small, for-profit hospitals, which may impact the quality of care. It raises critical questions about how physician experience and practice environments can shape patient outcomes and the importance of continuing education for older clinicians to stay up-to-date with current medical standards. There is a call for future research to further explore these dynamics and address the underlying factors contributing to the observed trends.
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Impact of Emergency Physician Age on Patient Mortality Rates
In this podcast, we review an Annals article published in Sept 2023 that showed an association between provider's age and patient mortality, with an increase in mortality rates for clinicians 50 and older.
Miyawaki A, Jena AB, Burke LG, Figueroa JF, Tsugawa Y. Association Between Emergency Physician's Age and Mortality of Medicare Patients Aged 65 to 89 Years After Emergency Department Visit. Ann Emerg Med. 2023 Sep;82(3):301-312.