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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

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

Family Physicians' Solutions to Common Medical Errors - Graham Center Policy One-Pagers...

Mar 15, 2003 - In two U.S. studies about medical errors in 2000 and 2001, family physicians offered their ideas on how to prevent, avoid, or remedy the five most often reported medical errors. Almost all reports (94 percent) included at least one idea on how to overcome the reported error. These ideas...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2003/0315/p1168.html

Few People in the United States Can Identify Primary Care Physicians - Graham Center ...

May 15, 2004 - Almost one decade after the Institute of Medicine (IOM) defined primary care, only one third of the American public is able to identify any of the medical specialties that provide it, and only 17 percent were able to accurately distinguish primary care physicians from medical or ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2004/0515/p2312.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

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

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

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

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

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

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

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

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

Imperative Integration: Medical Care for Older Patients - Graham Center Policy ...

Oct 1, 2006 - The ecology of medical care changes for older people, with increases in usage of residential and institutional care, emergency departments, and home care. Care integrated across multiple settings, as is proposed for new models of primary care, is essential for the care of older patients.

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2006/1001/p1105.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

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

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

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

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

Medical School Expansion: An Immediate Opportunity to Meet Rural Health Care Needs - ...

Jul 15, 2007 - The first expansion of allopathic medical education in 35 years is under way; this could eliminate rural physician shortage areas if students more likely to practice in rural areas are preferentially admitted and supported.

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2007/0715/p208.html

Medicare Part D: Who Wins, Who Loses? - Graham Center Policy One-Pagers - American ...

Feb 1, 2006 - The Medicare Part D prescription drug benefit aims to relieve the burden of out-of-pocket prescription drug costs for persons older than 65 years, but its effects will vary. Persons with low income and those without prior prescription coverage are projected to save the most, whereas ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2006/0201/p401.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

Mind the Gap: Medicare Part D's Coverage Gaps May Affect Patient Adherence - Graham ...

Feb 1, 2006 - Medicare Part D will lower medication expenditures for many older patients. However, its complex design incorporates a staggered series of cost-sharing mechanisms that create gaps in coverage and may have a negative impact on medication adherence.

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2006/0201/p404.html

Number of Persons Who Consulted a Physician, 1997 and 2002 - Graham Center Policy ...

Sep 15, 2005 - Most people in the United States consult a general physician each year, and some see other subspecialists. However, the proportion of people consulting a general physician who sees adults and children appears to be declining.

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2005/0915/p1007.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

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