<h3>PURPOSE</h3> We sought to project the number of primary care physicians required meet US health utilization needs through 2025 after passage Affordable Care Act. <h3>METHODS</h3> In this projection workforce needs, we used Medical Expenditure Panel Survey calculate use office-based in 2008. Census Bureau projections account for demographic changes and American Association9s Masterfile determine visits per physician. The main outcomes were projected needed conduct those visits....

Objective To develop a measure of social deprivation that is associated with health care access and outcomes at novel geographic level, primary service area. Data Sources/Study Setting Secondary analysis data from the Dartmouth Atlas, AMA Masterfile, National Provider Identifier data, Small Area Health Insurance Estimates, American Community Survey, Resource File, Behavioural Risk Factor Surveillance System. were aggregated to areas (PCSAs). Study Design Social variables selected literature...

<h3>PURPOSE</h3> Continuity of care is a defining characteristic primary associated with lower costs and improved health equity quality. However, we lack provider-level measures continuity amenable to value-based payment, including the Medicare Quality Payment Program (QPP). We created 4 physician-level, claims-based tested their associations expenditures hospitalizations. <h3>METHODS</h3> used claims data for 1,448,952 beneficiaries obtaining from nationally representative sample 6,551...

<h3>Importance</h3> Graduate medical education training may imprint young physicians with skills and experiences, but few studies have evaluated imprinting on physician spending patterns. <h3>Objective</h3> To examine the relationship between patterns in region of a physician’s graduate subsequent mean Medicare per beneficiary. <h3>Design, Setting, Participants</h3> Secondary multilevel multivariable analysis 2011 claims data (Part A hospital Part B physician) for random, nationally...

Abstract Social determinants of health significantly impact morbidity and mortality; however, physicians lack ready access to this information in patient care population management. Just as traditional vital signs give providers a biometric assessment any patient, “community signs” (Community VS) can provide an aggregated overview the social environmental factors impacting health. Knowing Community VS could inform clinical recommendations for individual patients, facilitate referrals...

<h3>PURPOSE</h3> Comprehensiveness is lauded as 1 of the 5 core virtues primary care, but its relationship with outcomes unclear. We measured associations between variations in comprehensiveness practice among family physicians and healthcare utilization costs for their Medicare beneficiaries. <h3>METHODS</h3> merged data from 2011 Part A B claims files a complex random sample engaged direct patient including 100% claimed care beneficiaries, reported by same during participation Maintenance...

<h3>Background:</h3> Despite clear evidence demonstrating the influence of social determinants on health, whether and how clinicians should address these remain unclear. We aimed to understand primary care clinicians9 experiences administering a needs screening instrument. <h3>Methods:</h3> Using prospective, observational design, we identified patients living in communities with lower education income seen by 17 from 12 practices northern Virginia. Before office visits, completed surveys,...

<h3>PURPOSE</h3> The purpose of this study was to calculate the projected primary care physician shortage, determine amount and composition residency growth needed, estimate impact retirement age panel size changes. <h3>METHODS</h3> We used 2010 National Ambulatory Medical Care Survey utilization ambulatory services US Census Bureau project demographic To baseline number physicians retiring at 66 years, we 2014 American Association Masterfile. Using specialty board Osteopathic figures,...

The term primary care is widely used as if it were consistently defined or well understood. In fact, neither the case. This paper offers a definition of derived from historical perspectives—from both United States and abroad. We discuss evidence for care’s important functions international experiences with care. also describe how why has deviated this fuller realization care, steps needed to achieve health outcomes on par those other developed countries. These include doubling financing...

<h3>PURPOSE</h3> Realizing the benefits of adopting electronic health records (EHRs) in large measure depends heavily on clinicians and providers' uptake meaningful use technology. This study examines EHR adoption among family physicians using 2 different data sources, compares with other office-based medical specialists, assesses variation across states, shows possibility for sharing various boards federal agencies monitoring guiding adoption. <h3>METHOD</h3> We undertook a secondary...

<h3>PURPOSE</h3> Solo and small practices are facing growing pressure to consolidate. Our objectives were determine (1) the percentage of family physicians in solo practices, (2) characteristics services provided by these practices. <h3>METHODS</h3> A total 10,888 seeking certification through American Board Family Medicine 2013 completed a demographic survey. Their split into categories size: solo, (2 5 providers), medium (6 20 large (more than providers). We also determined rurality county...

Background Disease prevention is a central aspect of primary care practice and comprised (eg, vaccinations), secondary screenings), tertiary chronic condition monitoring), quaternary overmedicalization) levels. Despite rapid digital transformation practices, health interventions (DHIs) in preventive have yet to be systematically evaluated. Objective This review aimed identify describe the scope use current DHIs for settings. Methods A scoping literature published from 2014 2020 was conducted...

Importance Enabling widespread interoperability—the ability of health information technology systems to exchange and use that without special effort—is a primary focus public policy on technology. More clinicians’ experience using can serve as one measure the impact policy. Objective To assess care physician perspectives state interoperability. Design, Setting, Participants A cross-sectional survey family medicine physicians in US was conducted from December 12, 2021, October 2022. sample...

Integrating public health and medicine to address social determinants of is essential achieving the Triple Aim lower costs, improved care, population health. There intense interest in United States using direct clinical community interventions, adjust quality measures payments. The Kingdom New Zealand use data representing aspects material deprivation from their censuses or administrative sets construct indices designed measure socioeconomic variation across communities, assess needs, inform...

<h3>PURPOSE</h3> We undertook a study to reexamine the relationship between educational debt and primary care practice, accounting for potentially confounding effect of medical student socioeconomic status. <h3>METHODS</h3> performed retrospective multivariate analyses data from 136,232 physicians who graduated allopathic US schools 1988 2000, obtained American Association Medical Colleges Graduate Questionnaire, Physician Masterfile, other sources. Need-based loans were used as markers...

Family physicians traditionally have played an integral role in delivering babies as a component of the comprehensive care they provide for women. The proportion family who report providing any maternity continues to decrease. This trend is particularly concerning because are most widely distributed specialty and essential health access rural areas.

Graduate medical education (GME) plays a key role in the U.S. health care workforce, defining its overall size and specialty distribution influencing physician practice locations. Medicare provides nearly $10 billion annually to support GME faces growing policy maker interest creating accountability measures. The purpose of this study was develop test candidate outcome measures related workforce.The authors performed secondary analysis data from American Medical Association Physician...

<h3>Purpose:</h3> Little is known about the attitudes toward and adoption of telehealth services among family physicians (FPs), largest primary care physician group. We conducted a national survey FPs, randomly sampled from membership organization files, to investigate use barriers using services. <h3>Methods:</h3> Using bivariate analyses, we examined how usage affected FPs9 identified Logistic regressions show factors associated both with <h3>Results:</h3> Surveys reached 4980 FPs; 1557...

Physician burnout has become a critical issue in rapidly changing health care environment and is reported to be increasing. However, little known about the prevalence of this problem among board-certified family physicians. Using an abbreviated survey, we found lower than been previously reported.

<h3>Objective:</h3> Housing insecurity has been linked to high-risk behaviors and chronic disease, although less is known about the pathways leading poor health. We sought determine whether housing associated with access preventive primary care. <h3>Methods:</h3> conducted weighted univariate, bivariate, multivariate analyses by using 2011 2015 Behavioral Risk factor Surveillance Survey data (N = 228,131 adults). The independent variable was derived from question on worry paying rent or...

Rural US populations face a chronic shortage of physicians and an increasing gap in life expectancy compared to urban populations, creating need understand how increase residency graduates' desire practice such areas.This study quantifies associations between the amount rural training during family medicine (FM) residencies subsequent work.American Medical Association (AMA) Masterfile, AMA graduate medical education (GME) supplement, American Board Family Medicine certification,...

The artificial intelligence (AI) revolution has arrived for the health care sector and is finally penetrating far-reaching but perpetually underfinanced primary platform. While AI potential to facilitate achievement of Quintuple Aim (better patient outcomes, population health, equity at lower costs while preserving clinician well-being), inattention training in use AI-based tools risks opposite effects, imposing harm exacerbating inequalities. impact on these aims will depend heavily...