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View article: Family Physicians’ Scope of Perinatal Care Across Geographic and Practice Settings
Family Physicians’ Scope of Perinatal Care Across Geographic and Practice Settings Open
View article: Exploring the Impact of Medicaid Cuts on Access to Care by Congressional District
Exploring the Impact of Medicaid Cuts on Access to Care by Congressional District Open
View article: The Geographic Distribution of Family Physicians Providing Maternity Care and Opportunities for Expanding Access to Care in Rural Areas
The Geographic Distribution of Family Physicians Providing Maternity Care and Opportunities for Expanding Access to Care in Rural Areas Open
Our findings demonstrate that while FPs are providing maternity care in rural areas across the United States, opportunities exist to expand their reach, particularly in Mississippi, Texas, and Oklahoma.
View article: The Health of US Primary Care: 2025 Scorecard Report — The Cost of Neglect
The Health of US Primary Care: 2025 Scorecard Report — The Cost of Neglect Open
View article: An Evaluation of the Decline in Primary Care Physician Visits, 2010 to 2021
An Evaluation of the Decline in Primary Care Physician Visits, 2010 to 2021 Open
Introduction: Primary care is the backbone of the United States healthcare system, yet it continues to be underfunded and inaccessible to many. Previous studies explored primary care visit patterns until 2016, leaving gaps in our understan…
View article: Good Clinician Communication Improves Continuity of Care for U.S.-Born Latino Patients but Not for Immigrant Latino Patients
Good Clinician Communication Improves Continuity of Care for U.S.-Born Latino Patients but Not for Immigrant Latino Patients Open
CONTEXT: Research shows that effective patient-clinician communication leads to high quality of care, overall satisfaction, and better patient outcomes. OBJECTIVE: Examine the association between patient-clinician interactions (communicati…
View article: Where are counties with consistently low rates of primary care physician capacity and high percentages of Black populations?
Where are counties with consistently low rates of primary care physician capacity and high percentages of Black populations? Open
CONTEXT: Primary care physician shortages are well documented and expected to worsen, particularly in specific regions in the US. Further, racial and ethnic minorities, particularly Black populations, have less access to primary care and w…
View article: A Few Doctors Will See Some of You: The Critical Role of Underrepresented in Medicine (URiM) Family Physicians in the Care of Medicaid Beneficiaries
A Few Doctors Will See Some of You: The Critical Role of Underrepresented in Medicine (URiM) Family Physicians in the Care of Medicaid Beneficiaries Open
These findings clearly show the critical role URiM FPs play in caring for Medicaid beneficiaries, suggesting physician race and ethnicity are correlated with Medicaid participation. Diversity in the health care workforce is essential for a…
View article: Racial Inequities in Female Family Physicians Providing Women’s Health Procedures
Racial Inequities in Female Family Physicians Providing Women’s Health Procedures Open
Patient-physician race concordant dyads have been shown to improve patient outcomes; the race and ethnicity of family physicians providing women's health procedures has not been described. Using self-reported data, this analysis highlights…
View article: Maternal Care Target Areas (MCTAs), Family Physicians, and the Expansion of Obstetrical Care in High-Need Areas
Maternal Care Target Areas (MCTAs), Family Physicians, and the Expansion of Obstetrical Care in High-Need Areas Open
CONTEXT: Many rural areas have disparities in maternal care outcomes, partly due to a lack obstetricians, certified nurse midwives, and hospitals providing obstetrical care (defined as maternity care deserts [MCDs]). In response, recent U.…
View article: Minoritized Family Medicine Physicians Provide the Largest Proportion of Care to Vulnerable Populations
Minoritized Family Medicine Physicians Provide the Largest Proportion of Care to Vulnerable Populations Open
1. CONTEXT: Though physicians from racial and ethnic minoritized groups comprise less of the physician workforce, from the perspective of Family Medicine, Family Medicine physicians who identify as racially and/or ethnically underrepresent…
View article: How Primary Care Utilization Patterns Changed Over the Decade
How Primary Care Utilization Patterns Changed Over the Decade Open
CONTEXT: Little is known about what drives the declining trends in primary care visits. OBJECTIVE: To 1) examine trends in outpatient visits over a decade, (2) assess the number of diagnoses per visit by clinician type and (3) investigate …
View article: Race Concordance in Medicare Part-B Summary Data, with Emphasis on African American and Hispanic Family Physicians
Race Concordance in Medicare Part-B Summary Data, with Emphasis on African American and Hispanic Family Physicians Open
CONTEXT: Concordance, or the sense of shared identity between two entities based on an attribute, is increasingly being emphasized as a mechanism to address health disparities. A growing body of literature suggests that race-concordance in…
View article: Racial/Ethnic Minority Identifying Family Physicians Are More Likely to Work in Solo Practices
Racial/Ethnic Minority Identifying Family Physicians Are More Likely to Work in Solo Practices Open
While the overall proportion of family physicians who work in solo practices has been steadily declining, Black, Hispanic/Latino, and Asian family physicians are more likely to work in these settings. Given their association with high leve…
View article: Female Family Physicians Are More Racially Diverse Than Their Male Counterparts in Federal Sites
Female Family Physicians Are More Racially Diverse Than Their Male Counterparts in Federal Sites Open
Supporting a diverse family physician workforce is an integral component of achieving health equity. This study compared the racial/ethnic composition of Federal family physicians (Military, Veterans Administration/Department of Defense) t…
View article: Substantial Variation in Healthcare Service Use and Costs Among Adults with Psychological Distress by Race-Ethnicity
Substantial Variation in Healthcare Service Use and Costs Among Adults with Psychological Distress by Race-Ethnicity Open
CONTEXT: Prior studies showed higher healthcare service utilization and costs among persons with mental illness. Psychological distress (PD), self-reported non-specific symptoms of stress, anxiety, and depression may lead to serious mental…
View article: The Association of Practice Type and the Scope of Care of Family Physicians
The Association of Practice Type and the Scope of Care of Family Physicians Open
Significant variation in FP comprehensiveness exists across different practice types. FPs in practice types commonly associated with large health systems had narrower breadth of practice, concerning amid increasing practice consolidation. …
View article: Comparison of Quality Performance Measures for Patients Receiving In-Person vs Telemedicine Primary Care in a Large Integrated Health System
Comparison of Quality Performance Measures for Patients Receiving In-Person vs Telemedicine Primary Care in a Large Integrated Health System Open
Importance Despite its rapid adoption during the COVID-19 pandemic, it is unknown how telemedicine augmentation of in-person office visits has affected quality of patient care. Objective To examine whether quality of care among patients ex…
View article: Underrepresented Minority Family Physicians More Likely to Care for Vulnerable Populations
Underrepresented Minority Family Physicians More Likely to Care for Vulnerable Populations Open
Using data from 2016 to 2020, we found that family physicians who identify as underrepresented minorities in medicine were more likely to have a larger percentage of vulnerable patients in their panels. Increasing access to care for vulner…
View article: Primary Care’s Historic Role in Vaccination and Potential Role in COVID-19 Immunization Programs
Primary Care’s Historic Role in Vaccination and Potential Role in COVID-19 Immunization Programs Open
Purpose: COVID-19 pandemic recovery will require a broad and coordinated effort for infection testing, immunity determination, and vaccination. With the advent of several COVID-19 vaccines, the dissemination and delivery of COVID-19 immuni…
View article: Proportion of Family Physicians in Solo and Small Practices is on the Decline
Proportion of Family Physicians in Solo and Small Practices is on the Decline Open
Although solo and small practices are a vital part of primary care, the proportion of family physicians reporting working in practices with 5 or fewer providers declined from 15% to 11% for solo and 37% to 34% for small (2 to 5 providers) …
View article: Correction to: Patient-Physician Racial Concordance Associated with Improved Healthcare Use and Lower Healthcare Expenditures in Minority Populations
Correction to: Patient-Physician Racial Concordance Associated with Improved Healthcare Use and Lower Healthcare Expenditures in Minority Populations Open
View article: Not Telehealth: Which Primary Care Visits Need In-Person Care?
Not Telehealth: Which Primary Care Visits Need In-Person Care? Open
The Coronavirus disease 2019 (COVID 19) pandemic has resulted in a rapid shift to telehealth and many services that need in-person care have been avoided. Yet, as practices and payment policies return to a new normal, there will be many qu…
View article: Capacity of Primary Care to Deliver Telehealth in the United States
Capacity of Primary Care to Deliver Telehealth in the United States Open
This study provides an estimate of the primary care capacity to deliver telehealth and can guide practices and payers as care delivery models change in a post-COVID 19 environment.
View article: Site of Care for COVID-19-Like Respiratory Illnesses
Site of Care for COVID-19-Like Respiratory Illnesses Open
COVID-19 is primarily a respiratory illness. Historically, upper and lower respiratory illness has been cared for at home or in the ambulatory primary care setting. It is likely that patients experiencing COVID-19-like symptoms may first c…
View article: Assessing Primary Care Contributions to Behavioral Health: A Cross-sectional Study Using Medical Expenditure Panel Survey
Assessing Primary Care Contributions to Behavioral Health: A Cross-sectional Study Using Medical Expenditure Panel Survey Open
Objectives To assess primary care contributions to behavioral health in addressing unmet mental healthcare needs due to the COVID-19 pandemic. Methods Secondary data analysis of 2016 to 2018 Medical Expenditure Panel Survey of non-institut…
View article: A Cross-Sectional Study of Factors Associated With Pediatric Scope of Care in Family Medicine
A Cross-Sectional Study of Factors Associated With Pediatric Scope of Care in Family Medicine Open
A majority of continuous certification US family physicians see pediatric patients in practice; however, rates of pediatric care vary widely based on various demographic and practice characteristics. Efforts to maintain a broad scope of pr…
View article: Proportion of Family Physicians Caring for Children is Declining
Proportion of Family Physicians Caring for Children is Declining Open
Using data from 2014 to 2018, we found that the proportion of family physicians caring for children under age 5 years and between ages 5 and 18 years has significantly declined. This has implications for the pediatric primary care workforc…
View article: The Evolving Family Medicine Team
The Evolving Family Medicine Team Open
A decade of practice transformation, consolidation, and payment experimentation have highlighted the need for team-based primary care, but little is known about how team composition is changing over time. Surveys of Family Physicians (FPs)…
View article: Taking a Closer Look at Mental Health Treatment Differences: Effectiveness of Mental Health Treatment by Provider Type in Racial and Ethnic Minorities
Taking a Closer Look at Mental Health Treatment Differences: Effectiveness of Mental Health Treatment by Provider Type in Racial and Ethnic Minorities Open
Objectives: To estimate racial/ethnic differences in the extent to which mental health treatment is obtained from mental health providers, primary care physicians (PCPs), or both and to examine the effects of provider type on change in men…