Is family care associated with reduced health care expenditures?

BACKGROUND. Specific components of family medicine associated with reduced health care costs are not well understood. We examined whether people who r eceived "family care," the sharing of a personal physician across familial generations, had lower health care expenditures than those who received "in dividual care" that lacked generational continuity. METHODS. We studied 1728 children and 2543 adults using a data subset of th e 1987 National Medical Expenditure Survey, a representative sample of the civilian noninstitutionalized US population, to examine the relationship be tween care category and total health care expenditures, adjusting for poten tial confounders and effect modifiers. Survey respondents from households w ith either a married or a single woman aged 18 to 55 years as head of house hold and at least 1 child younger than 18 years were included. Only individ uals reporting a family physican (FP) or general practitioner (GP) as their personal doctor were examined, since intergenerational family care is prov ided almost exclusively by FPs and GPs. RESULTS. Family care provided by an FP or GP was associated with 14% lower expenditures for adults ($51), after adjustment for covariates (P =.04), co mpared with individual care provided by a family or general practitioner. A lthough not statistically significant, for children family care was associa ted with 9% lower expenditures ($19). CONCLUSIONS. These findings suggest that family care provided by FPs or GPs is associated with lower health care costs. Policies promoting family care may reduce health care costs.