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@WileyHealth CONCLUSION Compared with families without a hospitalized family member, family members of hospitalized individuals reduced their medical spending and utilization, including a substantial reduction in the use of preventive care.
@WileyHealth WHAT THIS STUDY ADDS Using health care claims data, we found that hospitalizations of family members reduce the utilization of ambulatory care, including preventive care.
@WileyHealth WHAT IS KNOWN Severe medical events can negatively impact the financial status of patients and their families.
@WileyHealth CONCLUSION Unexplained residual variation, from underlying patient preferences and behavior of non-primary care providers, could be important determinants of LVS use.
@WileyHealth WHAT THIS STUDY ADDS Using multilevel models, we examined predictors of low-value service use and its variation explained by the set of characteristics at the beneficiary, physician, and primary care practice site levels.
@WileyHealth WHAT IS KNOWN Low-value services are a significant source of wasteful spending and potential patient harm.