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Proportional Erosion of the Primary Care Physician Workforce Has Continued Since 2010 -...

Aug 15, 2019 - We estimate that 217,208 primary care physicians provided direct patient care in the United States in 2018. This represents an even lower percentage (30%) of the total U.S. physician cohort than the 2010 Council on Graduate Medical Education's (COGME's) recommendation to increase ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2019/0815/p211.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

Increased Quantity but Not Proportion: U.S. Medical Schools and Family Medicine Entry ...

Feb 1, 2019 - Expansion in the number of American medical schools since 2005 led to an absolute increase in graduates matching into family medicine (FM) residency programs from 2008 to 2018. Proportionally, however, FM training has become increasingly reliant on osteopathic physicians and U.S. ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2019/0201/p153.html

High Demand, Low Supply: Health Centers and the Recruitment of Family Physicians - ...

Aug 1, 2018 - Expansion of the Health Centers Program has been associated with persistent workforce challenges for this critical component of the primary care safety net. In a national survey, 69% of health centers had a family physician (FP) vacancy. Those with FP vacancies reported spending an ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2018/0801/p146.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

High-Deductible Plans May Reduce Ambulatory Care Use - Graham Center Policy One-Pagers ...

Nov 1, 2016 - Although rates of uninsured Americans are declining because of the Affordable Care Act (ACA), there is growing concern about out-of-pocket expenditures associated with private high-deductible insurance plans.

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2016/1101/p727.html

Rural Opioid Use Disorder Treatment Depends on Family Physicians - Graham Center Policy...

Oct 1, 2016 - The nation's growing opioid use disorder epidemic disproportionately impacts rural areas, where physicians who can prescribe buprenorphine are scarcest. Among physicians approved to prescribe buprenorphine, family physicians (FPs) are the most likely to work in rural areas.

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2016/1001/p546.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

Only 15% of FPs Report Using Telehealth; Training and Lack of Reimbursement Are Top ...

Jan 15, 2016 - In a 2014 national survey, only 15% of responding family physicians (FPs) reported using telehealth in the previous year, even though most agreed that telehealth could improve access to and continuity of care for their patients. More than one-half of FPs identified lack of training and ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2016/0115/p101.html

Fewer Americans Report a Personal Physician as Their Usual Source of Health Care - ...

Dec 15, 2015 - One in five Americans reports no usual source of health care, and the number of Americans reporting that they have a personal relationship with a usual source of care has declined steadily over the past 15 years. Given the positive association between having a usual source of care and ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2015/1215/p1053.html

Graduates of Teaching Health Centers Are More Likely to Enter Practice in the Primary ...

Nov 15, 2015 - The Teaching Health Center Graduate Medical Education (THCGME) program funds new primary care residencies at community health centers caring for the nation's underserved population. In a national census of third-year family medicine residents, those who trained in teaching health ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2015/1115/p868.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

Primary Care Physicians Are More Likely to Participate in Medicare EHR Incentives than ...

Aug 1, 2015 - Family medicine and general internal medicine physicians are more likely to participate in the Medicare electronic health record (EHR) incentive program compared with other subspecialties, after accounting for Medicare income and other factors. These findings support the continuation of...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2015/0801/p182.html

Osteopathic Schools Are Producing More Graduates, But Fewer Are Practicing in Primary ...

Jun 1, 2015 - The expansion of osteopathic medical schools was to be a boon for underserved areas in need of primary care service. However, the impact has thus far been diminished by the decrease in osteopathic graduates engaged in primary care practice. Policy makers and leaders should consider ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2015/0601/p756.html

Shifting Sources of U.S. Primary Care Physicians - Graham Center Policy One-Pagers - ...

Jun 1, 2015 - Trends in the composition of the primary care physician workforce since 2000 show a declining proportion of U.S. allopathic physicians, and increasing proportions of U.S. osteopath physicians and both U.S.-born and foreign-born international graduates.

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2015/0601/p758.html

Smaller Practices Are Less Likely to Report PCMH Certification - Graham Center Policy ...

Apr 1, 2015 - Despite efforts to achieve broad transformation of primary care practices into patient-centered medical homes (PCMHs), certification rates have lagged in small and solo practices. The challenges these groups face with the transformation and certification processes should be addressed to...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2015/0401/p440.html

Teaching Health Center GME Funding Instability Threatens Program Viability - Graham ...

Feb 1, 2015 - The Teaching Health Center Graduate Medical Education (THCGME) program, funded since 2011 and set to expire in 2015, has increased the numbers of primary care physicians and dentists training to care for under-served populations nationwide. Without continued federal funding, most of ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2015/0201/p168.html

Opting Out of Medicaid Expansion May Cost States Additional Primary Care Physicians - ...

Jan 1, 2015 - States currently electing not to expand Medicaid possibly forego the opportunity to expand their primary care workforces by a total of 1,525 physicians. Increased demand from expansion states and a limited primary care physician pool may provide a pull across state lines to the ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2015/0101/od2.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

The Continued Importance of Small Practices in the Primary Care Landscape - Graham ...

Aug 15, 2014 - In 2010, as many as 45% of active primary care physicians (PCPs) were practicing at sites with five or fewer physicians. This large cohort of practices faces unique challenges in meeting the increasing demands of practice transformation, payer reporting requirements, and integrated ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2014/0815/od3.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

Winnable Battles: Family Physicians Play an Essential Role In Addressing Tobacco Use ...

Jun 1, 2014 - Tobacco use and obesity are linked to most deaths and significant disability in the United States, and family physicians are uniquely positioned to address these issues. This highlights a need for transforming primary care practices and teams to systematize the recognition and ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2014/0601/p872.html

The Changing Landscape of Primary Care HPSAs and the Influence on Practice Location - ...

May 1, 2014 - Health professional shortage area (HPSA) designations were created to highlight areas of primary care shortage and direct incentives to physicians willing to practice in these areas. We demonstrate the volatility of these geographies by examining the HPSA status of primary care ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2014/0501/od1.html

Projected Impact of the Primary Care Residency Expansion Program Using Historical ...

Apr 1, 2014 - The Primary Care Residency Expansion (PCRE) program was created by the Health Resources and Services Administration in 2010 to help address the shortage of primary care physicians. If historical graduate placement trends for funded programs remain stable, the PCRE program would have a ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2014/0401/p518.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

Migration After Family Medicine Residency: 56% of Graduates Practice Within 100 Miles ...

Nov 15, 2013 - With state planners working to address primary care shortages and federal graduate medical education payment reform looming, regional retention statistics for family medicine residency programs are a subject of high interest. Using the 2009 American Medical Association Physician ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2013/1115/p704.html

Historic Growth Rates Vary Widely Across the Primary Care Physician Disciplines - ...

Oct 1, 2013 - Nested within a 40-year trend of specialty-to-population growth outpacing that of primary care is variability in the rate of expansion within the different primary care disciplines. With continued population aging trends, low annual birth rate, and expected health insurance expansion, ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2013/1001/od3.html

Unequal Distribution of the U.S. Primary Care Workforce - Graham Center Policy ...

Jun 1, 2013 - The United States is facing a primary care physician shortage, but the most pressing problem is uneven distribution, particularly in poor and rural communities. Providing adequate access to care for the nearly 30 million uninsured people living in these communities will require potent ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2013/0601/od1.html

Relying on NPs and PAs Does Not Avoid the Need for Policy Solutions for Primary Care - ...

Aug 15, 2013 - Physician assistants (PAs) and nurse practitioners (NPs) are often proposed as solutions to the looming shortage of primary care physicians. However, a large and growing number of PAs and NPs now work outside of primary care, which suggests that innovative policy solutions to increase ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2013/0815/p230.html

Trends in Physician Supply and Population Growth - Graham Center Policy One-Pagers - ...

Apr 1, 2013 - The physician workforce has steadily grown faster than the U.S. population over the past 30 years, context that is often absent in conversations anticipating physician scarcity. Policy makers addressing future physician shortages should also direct resources to ensure specialty and ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2013/0401/od3.html

Is NIH Research Funding to Medical Schools Associated with More Family Physicians? - ...

Feb 1, 2013 - National Institutes of Health (NIH) funding to family medicine departments is very low and has an inverse association with the production of family physicians at these medical schools. Clinical and Translational Science Awards and other efforts to include primary care in NIH research ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2013/0201/p214.html

Health Care Transition Counseling for Youth with Special Health Care Needs - Graham ...

Dec 1, 2012 - Youth with special health care needs who receive care within a patient-centered medical home (PCMH) are significantly more likely to receive services for transitioning to adult care. Broader implementation of the PCMH may contribute to wider use of health care transition counseling and ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2012/1201/p1024.html

Improving America's Health Requires Community-Level Solutions: Folsom Revisited - ...

Aug 15, 2012 - Amidst sweeping changes to health care in the 1960s, the broadly influential Folsom Commission report, Health is a Community Affair, never fully achieved its vision of galvanizing the creation of Communities of Solution, which were empowered to improve health at the local level. Passage...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2012/0815/od2.html

Refocusing Geriatricians' Role in Training to Improve Care for Older Adults - Graham ...

Jan 1, 2012 - The current number of geriatricians cannot keep up with the health care needs of the growing number of older adults. To fill the gap, more geriatricians should focus on training primary care and other specialty physicians to care for older adults.

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2012/0101/p59.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

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

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

FPs Lower Hospital Readmission Rates and Costs - Graham Center Policy One-Pagers - ...

May 1, 2011 - Hospital readmission after discharge is often a costly failing of the U.S. health care system to adequately manage patients who are ill. Increasing the numbers of family physicians (FPs) is associated with significant reductions in hospital readmissions and substantial cost savings.

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2011/0501/p1054.html

Income Disparities Shape Medical Student Specialty Choice - Graham Center Policy ...

Sep 15, 2010 - Currently, a gap of more than $135,000 separates the median annual subspecialist income from that of a primary care physician, yielding a $3.5 million difference in expected income over a lifetime. These income disparities dissuade medical students from selecting primary care and should...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2010/0915/p601.html

Loss of Primary Care Residency Positions Amidst Growth in Other Specialties - Graham ...

Jul 15, 2010 - Since the 1997 Balanced Budget Act capped funding for graduate medical education (GME) programs, overall growth in GME has continued (+7.8 percent), but primary care specialties have experienced a substantial decline in their number of programs and residency positions. This decline will...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2010/0715/p121.html

Greater Family Medicine Presence at NIH Could Improve Research Relevance and Reach - ...

May 15, 2010 - Advisory committees perform pivotal tasks at the National Institutes of Health (NIH), informing funding decisions, helping establish research priorities, and contributing to the vision for the nation's biomedical research agenda. Family medicine has not had a substantial role on these ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2010/0515/p1213.html

Greater NIH investment in Family Medicine Would Help Both Achieve Their Missions - ...

Mar 15, 2010 - Family medicine is the predominant provider of primary health care in the United States, yet it receives relatively little research funding from the National Institutes of Health (NIH). Family medicine can help the NIH speed research discovery and improve research relevance; the NIH can...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2010/0315/p704.html

Title VII Is Criticial to the Community Health Center and National Health Service Corps...

Jan 15, 2010 - Community health centers (CHCs) and the National Health Service Corps (NHSC) are essential to a functioning health care safety net, but they struggle to recruit physicians. Compared with physicians trained in residency programs without Title VII funding, those trained in Title ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2010/0115/p132.html

Family Physicians' Present and Future Role in Caring for Older Patients - Graham Center...

Nov 15, 2009 - The population of patients older than 65 years is projected to increase substantially in the coming years, particularly in rural areas. Family physicians are essential providers of geriatric care, especially in rural areas, but need payment reform to improve their capacity to meet the ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2009/1115/p1072.html

Title VII's Decline: Shrinking Investment in the Primary Care Training Pipeline - ...

Oct 15, 2009 - Title VII, Section 747 is a source of federal funding intended to strengthen the primary care workforce. Despite evidence that Title VII has been successful, its funding has declined over the past three decades, threatening the production of primary care physicians.

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2009/1015/p872.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

Primary Care's Ecologic Impact on Obesity - Graham Center Policy One-Pagers - American ...

Mar 15, 2009 - With a costly obesity epidemic, policy makers must recognize factors that may influence obesity not only for each person, but also across communities. Increased primary care physician density on the county level is associated with decreased obesity rates. As we move to restructure the ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2009/0315/p446.html

Having a Usual Source of Care Reduces ED Visits - Graham Center Policy One-Pagers - ...

Jan 15, 2009 - The recent growth in the use of emergency departments (EDs) is costly, undesirable, and unnecessary. This trend is partly due to a growing proportion of persons who lack a usual source of care. This group is increasingly likely to rely on EDs for their health care needs compared with ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2009/0115/p94.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

Will Patients Find Diversity in the Medical Home? - Graham Center Policy One-Pagers - ...

Jul 15, 2008 - Mexican Americans and blacks experience disparities in health outcomes relative to white populations. During the past five to 10 years, fewer blacks and Mexican Americans are going to medical school and entering primary care professions. To assure the availability of a patient-centered ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2008/0715/p183.html

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