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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
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Home Research Research Library The Association of Practice Type and the Scope of Care of Family Physicians The Association of Practice Type and the Scope of Care of Family Physicians 2022 Author(s) Killeen, David, Jetty, Anuradha, Peterson, Lars E, Bazemore, Andrew W, and Jabbarpour, Yalda Topic(s) What Family Physicians Do Volume Journal of the American Board of Family Medicine Source Journal of the American Board of Family Medicine Introduction: Comprehensiveness is a defining principle of primary care and Family Medicine but is declining in some settings. This study explores the relationship between practice setting and comprehensiveness among family physicians (FPs).Methods: Using 2014 to 2016 American Board of Family Medicine survey data to generate scope of practice (SOP) scores (0 to 30) for FPs. We ran univariate and bivariate analyses for services by practice organization type. Our principal independent variable was practice organization type and dependent variable, the SOP score.Results: Among 25,117 total respondents, FPs at rural health centers (RHC) had the widest scope of practice (SOP score of 17.7) whereas FPs in federal, urgent care and other safety net clinics had the narrowest with mean SOP score of 14.0 or less. Higher rates of FPs practicing in Federally Qualified Health Centers and academic health centers were providing a women’s health service, except for deliveries, whereas FPs in rural health centers were providing obstetric services (24%). The proportion of FPs providing newborn care was highest in RHCs and lowest in the urgent care setting (85%, vs 26%). A higher proportion of FPs in RHCs provided joint injections and skin procedures than FPs in other practice organizations.Conclusions: Significant variation in FP comprehensiveness exists across different practice types. FPs in practice types commonly associated with large health systems had narrower breadth of practice, concerning amid increasing practice consolidation. Given associations between comprehensiveness and desirable health care outcomes, policy makers should encourage payment/accountability models that incentivize broader SOP. Read More ABFM Research Read all 2021 A Cross-Sectional Study of Factors Associated With Pediatric Scope of Care in Family Medicine Go to A Cross-Sectional Study of Factors Associated With Pediatric Scope of Care in Family Medicine 2019 Comparing Comprehensiveness in Primary Care Specialties and Their Effects on Healthcare Costs and Hospitalizations in Medicare Beneficiaries Go to Comparing Comprehensiveness in Primary Care Specialties and Their Effects on Healthcare Costs and Hospitalizations in Medicare Beneficiaries 2017 Training Family Medicine Residents to Perform Home Visits: A CERA Survey Go to Training Family Medicine Residents to Perform Home Visits: A CERA Survey 1979 Panel: “role of the specialist in the emergency room” Go to Panel: “role of the specialist in the emergency room”
Author(s) Killeen, David, Jetty, Anuradha, Peterson, Lars E, Bazemore, Andrew W, and Jabbarpour, Yalda Topic(s) What Family Physicians Do Volume Journal of the American Board of Family Medicine Source Journal of the American Board of Family Medicine
ABFM Research Read all 2021 A Cross-Sectional Study of Factors Associated With Pediatric Scope of Care in Family Medicine Go to A Cross-Sectional Study of Factors Associated With Pediatric Scope of Care in Family Medicine 2019 Comparing Comprehensiveness in Primary Care Specialties and Their Effects on Healthcare Costs and Hospitalizations in Medicare Beneficiaries Go to Comparing Comprehensiveness in Primary Care Specialties and Their Effects on Healthcare Costs and Hospitalizations in Medicare Beneficiaries 2017 Training Family Medicine Residents to Perform Home Visits: A CERA Survey Go to Training Family Medicine Residents to Perform Home Visits: A CERA Survey 1979 Panel: “role of the specialist in the emergency room” Go to Panel: “role of the specialist in the emergency room”
2021 A Cross-Sectional Study of Factors Associated With Pediatric Scope of Care in Family Medicine Go to A Cross-Sectional Study of Factors Associated With Pediatric Scope of Care in Family Medicine
2019 Comparing Comprehensiveness in Primary Care Specialties and Their Effects on Healthcare Costs and Hospitalizations in Medicare Beneficiaries Go to Comparing Comprehensiveness in Primary Care Specialties and Their Effects on Healthcare Costs and Hospitalizations in Medicare Beneficiaries
2017 Training Family Medicine Residents to Perform Home Visits: A CERA Survey Go to Training Family Medicine Residents to Perform Home Visits: A CERA Survey
1979 Panel: “role of the specialist in the emergency room” Go to Panel: “role of the specialist in the emergency room”