دورية أكاديمية
US Generalist Physicians and Groups That Focused Practice in a Single Care Setting: 2014-2017.
العنوان: | US Generalist Physicians and Groups That Focused Practice in a Single Care Setting: 2014-2017. |
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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 |
تدمد: | 1537-1948 |
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DOI: | 10.1097/MLR.0000000000001778 |