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. ABFM Research Read all 2024 Rural Family Physicians Are More Likely to Collaborate with Multisector Community Organizations Go to Rural Family Physicians Are More Likely to Collaborate with Multisector Community Organizations 2011 What services do family physicians provide in a time of primary care transition? Go to What services do family physicians provide in a time of primary care transition? 2015 Family physician geriatricians do mostly geriatric care: is this a problem for our specialty? Go to Family physician geriatricians do mostly geriatric care: is this a problem for our specialty? 2018 Family Medicine Hospitalists Three Years Out of Residency: Career Flexibility or a Threat to Office-Based Family Medicine? Go to Family Medicine Hospitalists Three Years Out of Residency: Career Flexibility or a Threat to Office-Based Family Medicine?
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 2024 Rural Family Physicians Are More Likely to Collaborate with Multisector Community Organizations Go to Rural Family Physicians Are More Likely to Collaborate with Multisector Community Organizations 2011 What services do family physicians provide in a time of primary care transition? Go to What services do family physicians provide in a time of primary care transition? 2015 Family physician geriatricians do mostly geriatric care: is this a problem for our specialty? Go to Family physician geriatricians do mostly geriatric care: is this a problem for our specialty? 2018 Family Medicine Hospitalists Three Years Out of Residency: Career Flexibility or a Threat to Office-Based Family Medicine? Go to Family Medicine Hospitalists Three Years Out of Residency: Career Flexibility or a Threat to Office-Based Family Medicine?
2024 Rural Family Physicians Are More Likely to Collaborate with Multisector Community Organizations Go to Rural Family Physicians Are More Likely to Collaborate with Multisector Community Organizations
2011 What services do family physicians provide in a time of primary care transition? Go to What services do family physicians provide in a time of primary care transition?
2015 Family physician geriatricians do mostly geriatric care: is this a problem for our specialty? Go to Family physician geriatricians do mostly geriatric care: is this a problem for our specialty?
2018 Family Medicine Hospitalists Three Years Out of Residency: Career Flexibility or a Threat to Office-Based Family Medicine? Go to Family Medicine Hospitalists Three Years Out of Residency: Career Flexibility or a Threat to Office-Based Family Medicine?
