A Look at Primary Care Effectiveness in Small Family Medicine Practices Versus Larger Health Systems

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Robert L. Phillips, Jr, MD, MSPH, Vice-President of Research and Policy for the American Board of Family Medicine (ABFM), discusses the shift in family medicine residents joining larger health systems over small or solo family medicine practices.

The findings regarding the increase of primary care physicians moving to larger health systems are concerning as a recent study showed this trend reduces the ability of primary care to deliver the functions associated with better outcomes seen in small, physician-owned practices. Growing evidence indicates that family medicine teams that increase practice scope support better primary care and improve outcomes. Preliminary analysis of the 2016 ABFM Graduate Survey also suggests that broad scope practice may protect against burnout.

The complete article can be found at: http://www.stfm.org/FamilyMedicine/Vol49Issue8/Phillips591

Inquiries and correspondence should be addressed to: Dr. Phillips, American Board of Family Medicine, 1648 McGrathiana Pkwy, Suite 550, Lexington, KY 40511. bphillips@theabfm.org

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Jane Ireland

Jane Ireland
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