US Generalist Physicians and Groups That Focused Practice in a Single Care Setting
2014–2017
Bibliographic Data
| ID | 9102424 |
|---|---|
| Authors | Kira L Ryskina (0000-0003-3379-6394, Department of Medicine, Perelman School of Medicine at the University of Pennsylvania, corresponding author), Mark Aaron Unruh (0000-0002-9662-5659, Department of Population Health Sciences, Weill Cornell Medical College, NY), Yuting Qian (0000-0002-9496-2299, Department of Health Policy and Management, Yale School of Public Health, New Haven, CT), Hye-Young Jung (0000-0002-8607-0733, Department of Population Health Sciences, Weill Cornell Medical College, NY), Hye‐Young Jung (0000-0001-8229-3588, Cornell University) |
| Year | 2022 |
| Volume | 60 |
| Issue | 11 |
| Pages | 831-838 |
| Publication date | 2022-11-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/mlr.0000000000001778 |
| PMID | 36075814 |
| OpenAlex | W4295086830 |
| Language | EN |
| Citations received | 1 |
| References cited | 22 |
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
Family medicine · Generalist and specialist species · Geriatrics · Health care · MEDLINE · Primary care · Referral · Chronic Disease Management Strategies · Hospital Admissions and Outcomes · Medicine · Nursing · Primary Care and Health Outcomes
| Unique citing works | 1 |
|---|---|
| Citations per year | 1 |
| Citation span | 2026 - 2026 (1) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 1 |