research Performance Evaluation of the Generative Pre-trained Transformer (GPT-4) on the Family Medicine In-Training Examination Read Performance Evaluation of the Generative Pre-trained Transformer (GPT-4) on the Family Medicine In-Training Examination
post President’s Message: ABFM’s Unwavering Commitment to Diplomates and the Specialty Read President’s Message: ABFM’s Unwavering Commitment to Diplomates and the Specialty
post “Family Medicine Was All I Ever Wanted to Do” Dr. Phillip Wagner Read “Family Medicine Was All I Ever Wanted to Do”
Home Research Research Library Small Independent Primary Care Practices Serving Socially Vulnerable Urban Populations Small Independent Primary Care Practices Serving Socially Vulnerable Urban Populations 2024 Author(s) Rittenhouse, Diane R, Peebles, Victoria, Mack, Caroline, Alvarez, Cindy, and Bazemore, Andrew W Topic(s) Role of Primary Care Volume Annals of Family Medicine Source Annals of Family Medicine PURPOSE This mixed methods study sought to describe the extent to which family physicians in urban communities serve socially vulnerable patients and to better understand their practices, their challenges, and the structural supports that could facilitate their patient care. METHODS We conducted a quantitative analysis of questionnaire data from 100% of US physicians recertifying for family medicine from 2017 to 2020. We conducted qualitative analysis of in-depth interviews with 22 physician owners of urban, small, independent practices who reported that the majority of their patients were socially vulnerable. RESULTS In 2020, in urban areas across the United States, 19.3% of family physicians served in independent practices with 1 to 5 clinicians, down from 22.6% in 2017. Nearly one-half of these physicians reported that >10% of their patients were socially vulnerable. Interviews with 22 physicians who reported that the majority of their patients were socially vulnerable revealed 5 themes: (1) substantial time spent addressing access issues and social determinants of health, (2) minimal support from health care entities, such as independent practice associations and health plans, and insufficient connection to community-based organizations, (3) myriad financial challenges, (4) serious concerns about the future, and (5) deep personal commitment to serving socially vulnerable patients in independent practice. CONCLUSIONS Small independent practices serving vulnerable patients in urban communities are surviving because deeply committed physicians are making personal sacrifices. Health equity–focused policies could decrease the burden on these physicians and bolster independent practices so that socially vulnerable patients continue to have options when seeking primary care. Read More ABFM Research Read all 2023 Foundational Collective Actions for Achieving Agile High-Quality Primary Care in the United States Go to Foundational Collective Actions for Achieving Agile High-Quality Primary Care in the United States 2015 Fewer family physicians are in solo practices Go to Fewer family physicians are in solo practices 2022 Physician versus Practice-Level Primary Care Continuity and Association with Outcomes in Medicare Beneficiaries Go to Physician versus Practice-Level Primary Care Continuity and Association with Outcomes in Medicare Beneficiaries 2020 Using Machine Learning to Predict Primary Care and Advance Workforce Research Go to Using Machine Learning to Predict Primary Care and Advance Workforce Research
Author(s) Rittenhouse, Diane R, Peebles, Victoria, Mack, Caroline, Alvarez, Cindy, and Bazemore, Andrew W Topic(s) Role of Primary Care Volume Annals of Family Medicine Source Annals of Family Medicine
ABFM Research Read all 2023 Foundational Collective Actions for Achieving Agile High-Quality Primary Care in the United States Go to Foundational Collective Actions for Achieving Agile High-Quality Primary Care in the United States 2015 Fewer family physicians are in solo practices Go to Fewer family physicians are in solo practices 2022 Physician versus Practice-Level Primary Care Continuity and Association with Outcomes in Medicare Beneficiaries Go to Physician versus Practice-Level Primary Care Continuity and Association with Outcomes in Medicare Beneficiaries 2020 Using Machine Learning to Predict Primary Care and Advance Workforce Research Go to Using Machine Learning to Predict Primary Care and Advance Workforce Research
2023 Foundational Collective Actions for Achieving Agile High-Quality Primary Care in the United States Go to Foundational Collective Actions for Achieving Agile High-Quality Primary Care in the United States
2015 Fewer family physicians are in solo practices Go to Fewer family physicians are in solo practices
2022 Physician versus Practice-Level Primary Care Continuity and Association with Outcomes in Medicare Beneficiaries Go to Physician versus Practice-Level Primary Care Continuity and Association with Outcomes in Medicare Beneficiaries
2020 Using Machine Learning to Predict Primary Care and Advance Workforce Research Go to Using Machine Learning to Predict Primary Care and Advance Workforce Research
