دورية أكاديمية
أعرض في EDS

US Generalist Physicians and Groups That Focused Practice in a Single Care Setting: 2014-2017.

التفاصيل البيبلوغرافية
العنوان: US Generalist Physicians and Groups That Focused Practice in a Single Care Setting: 2014-2017.
المؤلفون: Ryskina KL; Department of Medicine, Perelman School of Medicine at the University of Pennsylvania.; Leonard Davis Institute of Health Economics, Philadelphia, PA., Unruh MA; Department of Population Health Sciences, Weill Cornell Medical College, NY., Qian Y; Department of Health Policy and Management, Yale School of Public Health, New Haven, CT., Jung HY; Department of Population Health Sciences, Weill Cornell Medical College, NY.
المصدر: Medical care [Med Care] 2022 Nov 01; Vol. 60 (11), pp. 831-838. Date of Electronic Publication: 2022 Sep 06.
نوع المنشور: Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 0230027 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1537-1948 (Electronic) Linking ISSN: 00257079 NLM ISO Abbreviation: Med Care Subsets: MEDLINE
أسماء مطبوعة: Publication: Hagerstown, MD : Lippincott Williams & Wilkins
Original Publication: Philadelphia, etc., Lippincott.
مواضيع طبية MeSH: Medicare* , Physicians*, Aged ; Cross-Sectional Studies ; Humans ; Internal Medicine ; Retrospective Studies ; United States
مستخلص: Background: Some generalist physicians whose training prepared them for primary care practice increasingly practice in a facility (eg, hospitals, nursing homes); however, whether this trend was accompanied by a complimentary rise in generalist physicians who focused their practice on office-based care is unknown.
Objectives: Our objective in this study was to examine trends in the prevalence of generalist physicians and physician groups that practice in a single setting.
Research Design: This was a retrospective cross-sectional study of generalist physicians trained in family medicine, internal medicine, or geriatrics. We used 2014-2017 billing data for Medicare fee-for-service beneficiaries to measure the proportion of all patient visits made by physicians in the following care settings: office, outpatient hospital department, inpatient hospital, and other sites.
Results: From 2014 to 2017, the proportion of generalist physicians who narrowed their practice to a single setting increased by 6.69% (from 62.80% to 67.00%, p for trend <0.001). In 2017, 4.63% of physician groups included more than 1 type of setting-based physicians.
Conclusions: Generalist physicians treating older adults increasingly narrowed their practice focus to a single type of health care setting. This trend was not accompanied by growth among physician groups that included different types of setting-based physicians. Further evaluation of the consequences of these trends on the fragmentation of primary care delivery across different health care settings and primary care outcomes is needed.
Competing Interests: The authors declare no conflict of interest
(Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.)
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معلومات مُعتمدة: K01 AG057824 United States AG NIA NIH HHS; K08 AG052572 United States AG NIA NIH HHS; R01 AG066841 United States AG NIA NIH HHS; R01 AG070944 United States AG NIA NIH HHS
تواريخ الأحداث: Date Created: 20220908 Date Completed: 20221017 Latest Revision: 20231115
رمز التحديث: 20240628
مُعرف محوري في PubMed: PMC9588651
DOI: 10.1097/MLR.0000000000001778
PMID: 36075814
قاعدة البيانات: MEDLINE
الوصف
تدمد:1537-1948
DOI:10.1097/MLR.0000000000001778