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05). We found the opposite pattern of associations between these same risk factors and annual patient utilization of physicians and specialists (P less then .05). CONCLUSIONS Medicare patients with multiple social risk factors have consistently better COC; these same social risk factors are associated with reduced patient-realized access to specialist physician care. © Health Research and Educational Trust.OBJECTIVE To determine the correlation between hospital 30-day risk-standardized readmission rates (RSRRs) in elderly adults and thos