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A Perfect Storm: Changes Impacting Medicare Threaten Primary Care Access in Underserved...

Jun 15, 2008 - A convergence of three policies could reduce physician Medicare payments by 14.9 to 22.3 percent in 2008, which could jeopardize access for Medicare beneficiaries in underserved areas. Congress and the Executive Branch should coordinate their roles in setting Medicare payment policy, ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2008/0615/p1738.html

Accounting for Complexity: Aligning Current Payment Models with the Breadth of Care by ...

Dec 1, 2014 - Family physicians provide care for a wider range of conditions than do most specialists, introducing a high level of complexity into their practice. Historic assumptions associating complexity with the intensity, skill, and training required to accommodate a single task fail to capture ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2014/1201/p790.html

Behavioral Change Counseling in the Medical Home - Graham Center Policy One-Pagers - ...

Nov 15, 2007 - Health-related behavioral counseling can and should be a central offering in the medical home. Primary care practices currently address unhealthy behaviors with their patients, but most practices lack the integrated approaches needed to effectively change these behaviors. Revisions in ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2007/1115/p1472.html

Better Integration of Mental Health Care Improves Depression Screening and Treatment in...

Nov 1, 2011 - Improving screening and treatment for depression in primary care will require better mental health care integration. Depression is common in primary care, yet screening for the condition remains low. Enhanced, coordinated financial support for the integration of mental health care into ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2011/1101/p980.html

Changing Patient Health-Risk Behavior Requires New Investment in Primary Care - Graham ...

Oct 15, 2008 - Evidence supports the effectiveness of primary care interventions to improve nutrition, increase physical activity levels, reduce alcohol intake, and stop tobacco use. However, implementing these interventions requires considerable practice expense. If we hope to change behavior to ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2008/1015/p924.html

Chiropractors Are Not a Usual Source of Primary Health Care - Graham Center Policy ...

Jun 1, 2004 - Chiropractors are the largest source of office-based care in the United States that does not involve a physician, but people do not view chiropractors as primary providers of health care or advice. Unlike the care given by primary care providers, the majority of care provided by ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2004/0601/p2544.html

Comprehensive Medical School Rural Programs Produce Rural Family Physicians - Graham ...

Dec 15, 2011 - Health insurance expansion expected from the Affordable Care Act is likely to exacerbate the long-standing and critical shortage of rural and primary care physicians over the next decade. Comprehensive medical school rural programs, from which most graduates ultimately enter primary ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2011/1215/p1350.html

Consequences of Medical Errors Observed by Family Physicians - Graham Center Policy ...

Mar 1, 2003 - In two studies about medical errors, family physicians reported health, time, and financial consequences in nearly 85 percent of their error reports. Health consequences occurred when the error caused pain, extended or created illness, or placed patients, their families, and others at ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2003/0301/p915.html

Decreasing Self-Perceived Health Status Despite Rising Health Expenditures - Graham ...

Sep 1, 2009 - Despite steady increases in U.S. health care spending, the population's self-perceived health status has been in a long-term decline. Increased support for public health, prevention, and primary care could reduce growth in spending and improve actual and perceived health.

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2009/0901/p427.html

Ecology of Health Care: The Need to Address Low Utilization in American Indians/Alaska ...

Feb 1, 2014 - Disparities in health and access to health care continue to persist among the American Indian/Alaska Native population, despite federal efforts to call attention to and address these disparities.1 Policy makers should direct resources to ensure that this population has sufficient access...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2014/0201/p217.html

EHR Implementation Without Meaningful Use Can Lead to Worse Outcomes - Graham Center ...

Dec 1, 2011 - Defying expectations, typical electronic health record (EHR) use in practices belonging to a primary care network has been associated with poorer diabetes care quality and outcomes. Current expansion of primary care EHR implementation must focus on use that improves care.

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2011/1201/p1220.html

Ensuring Primary Care Access in States with an Aging Family Physician Workforce - ...

Jun 15, 2019 - In many states, at least 40% of family physicians are older than 55. Therefore, policymakers should support broad training models that produce enough primary care physicians to meet state population needs.

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2019/0615/p743.html

Excess, Shortage, or Sufficient Physician Workforce: How Could We Know? - Graham Center...

Nov 1, 2005 - At least three models have been used to project the future physician workforce, and each produces different results. No physician workforce predictions can be relied on until there is more consideration of and agreement on desired health outcomes and what physicians must do to achieve ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2005/1101/p1670.html

Family Medicine Residents: Increasingly Diverse, but Lagging Behind Underrepresented ...

Jul 15, 2014 - Increasing racial and ethnic diversity in the U.S. population has not been fully realized in the physician workforce. Family physicians, the most widely distributed of the physician specialties, are on the front line of a physician trend toward greater racial and ethnic diversity over ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2014/0715/p80.html

Family Medicine: An Underutilized Resource in Addressing the Opioid Epidemic? - Graham ...

Sep 1, 2016 - Opioid overdose rates have tripled since 2000, and although overprescribing of opioids by physicians is widely accepted as a causal factor, the physician's role in providing medication-assisted treatment for opioid use disorder is less appreciated. Despite a clear willingness to ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2016/0901/p350.html

Family Physicians and the Primary Care Physicians Workforce in 2004 - Graham Center ...

Jun 15, 2005 - In 2004, there were 91,600 family physicians (FPs) and general practitioners (GPs) and 222,000 primary care physicians actively caring for patients, one for every 1,321 persons. These primary care physicians represent the largest and best-trained primary care physician workforce that ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2005/0615/p2260.html

Family Physicians Are an Important Source of Mental Health Care - Graham Center Policy ...

Apr 1, 2003 - While comprising about 15 percent of the physician workforce, family physicians provided approximately 20 percent of physician office-based mental health visits in the United States between 1980 and 1999. This proportion has remained stable over the past two decades despite a decline in...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2003/0401/p1422.html

Family Physicians Are an Important Source of Newborn Care: The Case of the State of ...

Aug 15, 2003 - Family physicians (FPs) provided 30 percent of inpatient newborn care in Maine in the year 2000. FPs cared for a large proportion of newborns, especially those insured by Medicaid and in smaller, rural hospitals where FPs also delivered babies. Family medicine's commitment to serve ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2003/0815/p593.html

Family Physicians Are the Main Source of Primary Health Care for the Medicare ...

Dec 1, 2002 - Of people 65 years and older who reported an individual provider as their usual source of health care, 60 percent identified a family physician or general practitioner. The Medicare population relies heavily on family physicians.

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2002/1201/p2032.html

Family Physicians Contribute Significantly to Emergency Care of Medicare Patients in ...

Sep 15, 2015 - Rural populations rely on physicians trained in primary care to provide emergency services. Less is known about primary care’s contribution to emergency services in urban and suburban settings. Two-thirds of family medicine and three-fourths of general internal medicine Medicare claims ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2015/0915/p445.html

Family Physicians Help Meet the Emergency Care Needs of Rural America - Graham Center ...

Apr 1, 2006 - Ensuring access to emergency care in rural areas remains a challenge. High costs and low patient volumes make 100 percent staffing of rural emergency departments (EDs) by emergency medicine residency-trained physicians (EPs) unlikely. As rurality increases, so does the dependence on ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2006/0401/p1163.html

Family Physicians Increase Provision of Well-Infant Care Despite Decline in Prenatal ...

Jan 1, 2003 - Over the past 20 years, family physicians and general practitioners (FP/GPs) and pediatricians have upheld their commitment to preventive care for infants. Non-Metropolitan Statistical Areas (non-MSAs) depend on family physicians for almost one half of their well-infant care. FP/GPs ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2003/0101/p17.html

Family Physicians Make a Substantial Contribution to Maternity Care: The Case of the ...

Aug 1, 2003 - Family physicians provided nearly 20 percent of labor and delivery care in Maine in the year 2000. A substantial proportion of this care was provided to women insured by Medicaid and those delivering in smaller, rural hospitals and residency-affiliated hospitals. As family medicine ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2003/0801/p405.html

Family Physicians Practicing High-Volume Obstetric Care Have Recently Dropped by ...

Jun 15, 2017 - Previous research has shown a decline in the percentage of family physicians practicing low- or medium-volume obstetrics. Using 13 years of data through 2016, we found continued declines in low- and medium-volume obstetrics, in addition to a new 50% decrease in family physicians ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2017/0615/p762.html

Family Physicians' Declining Contribution to Prenatal Care in the United States - ...

Dec 15, 2002 - A substantial decline in prenatal care by family physicians has occurred over the past 20 years in all geographic regions of the country. Even so, during the past two decades, family physicians and general practitioners (FP/GPs) have provided more than 2 million prenatal visits per ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2002/1215/p2192.html

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