Table 17: Provision of Selected Services and Procedures in Hospital Practices of Family Physicians (as of April 2011)

Provision of Selected Services and Procedures in Hospital Practices of Family Physicians (as of April 2011)

Primary Reason for Not Providing Procedure or Service
 ProvideProvide with consultation only% ProvidingNot desiredPrivileges deniedLiability costs prohibitiveFear of liability suitsNo hospital departmentValid N
Pediatric CareProvide: 62.3%Provide with consultation only: 1.6%% Providing: 63.9%Not desired: 32.4%Privileges denied: 0.2%Liability costs prohibitive: 0.3%Fear of liability suits: 0.0%No hospital department: 3.3%Valid N: 424
Newborn CareProvide: 57.1%Provide with consultation only: 2.0%% Providing: 59.1%Not desired: 36.3%Privileges denied: 0.4%Liability costs prohibitive: 0.3%Fear of liability suits: 0.0%No hospital department: 4.0%Valid N: 426
Formal Interpretation of EKGsProvide: 44.4%Provide with consultation only: 4.9%% Providing: 49.2%Not desired: 46.3%Privileges denied: 2.1%Liability costs prohibitive: 0.8%Fear of liability suits: 0.9%No hospital department: 0.8%Valid N: 438
Intensive Care UnitProvide: 34.2%Provide with consultation only: 10.9%% Providing: 45.1%Not desired: 49.2%Privileges denied: 1.1%Liability costs prohibitive: 0.3%Fear of liability suits: 0.5%No hospital department: 3.8%Valid N: 419
CircumcisionProvide: 39.3%Provide with consultation only: 1.1%% Providing: 40.3%Not desired: 53.8%Privileges denied: 0.7%Liability costs prohibitive: 0.9%Fear of liability suits: 0.0%No hospital department: 4.2%Valid N: 413
Emergency DepartmentProvide: 35.8%Provide with consultation only: 4.3%% Providing: 40.1%Not desired: 58.4%Privileges denied: 0.6%Liability costs prohibitive: 0.3%Fear of liability suits: 0.0%No hospital department: 0.6%Valid N: 419
Coronary Care UnitProvide: 28.7%Provide with consultation only: 7.8%% Providing: 36.5%Not desired: 52.4%Privileges denied: 0.7%Liability costs prohibitive: 0.3%Fear of liability suits: 0.9%No hospital department: 9.3%Valid N: 420
Surgery - MinorProvide: 34.0%Provide with consultation only: 2.0%% Providing: 36.1%Not desired: 60.1%Privileges denied: 0.2%Liability costs prohibitive: 2.1%Fear of liability suits: 0.3%No hospital department: 1.2%Valid N: 426
PsychiatryProvide: 29.2%Provide with consultation only: 4.4%% Providing: 33.6%Not desired: 59.8%Privileges denied: 0.2%Liability costs prohibitive: 0.3%Fear of liability suits: 0.0%No hospital department: 6.2%Valid N: 417
Attend Newborn at C-SectionProvide: 27.2%Provide with consultation only: 3.0%% Providing: 30.2%Not desired: 63.0%Privileges denied: 0.7%Liability costs prohibitive: 1.0%Fear of liability suits: 0.5%No hospital department: 4.7%Valid N: 412
GYN - ColposcopyProvide: 19.1%Provide with consultation only: 2.8%% Providing: 21.9%Not desired: 71.3%Privileges denied: 0.3%Liability costs prohibitive: 3.1%Fear of liability suits: 0.5%No hospital department: 2.8%Valid N: 427
Surgery - AssistingProvide: 17.5%Provide with consultation only: 4.0%% Providing: 21.5%Not desired: 71.8%Privileges denied: 0.5%Liability costs prohibitive: 3.3%Fear of liability suits: 0.5%No hospital department: 2.4%Valid N: 412
Cardiac Stress TestingProvide: 11.7%Provide with consultation only: 8.6%% Providing: 20.3%Not desired: 73.3%Privileges denied: 1.4%Liability costs prohibitive: 0.8%Fear of liability suits: 1.4%No hospital department: 2.9%Valid N: 422
OB - InductionProvide: 15.5%Provide with consultation only: 4.0%% Providing: 19.5%Not desired: 71.6%Privileges denied: 0.2%Liability costs prohibitive: 4.8%Fear of liability suits: 0.9%No hospital department: 3.1%Valid N: 430
OB - Routine DeliveryProvide: 17.2%Provide with consultation only: 1.9%% Providing: 19.2%Not desired: 71.6%Privileges denied: 0.2%Liability costs prohibitive: 5.1%Fear of liability suits: 0.9%No hospital department: 3.1%Valid N: 429
OB - AugmentationProvide: 16.8%Provide with consultation only: 2.3%% Providing: 19.1%Not desired: 70.8%Privileges denied: 0.8%Liability costs prohibitive: 5.4%Fear of liability suits: 0.5%No hospital department: 3.3%Valid N: 423
OB - Vacuum DeliveryProvide: 14.2%Provide with consultation only: 3.9%% Providing: 18.1%Not desired: 72.1%Privileges denied: 0.5%Liability costs prohibitive: 5.2%Fear of liability suits: 0.9%No hospital department: 3.2%Valid N: 432
OB - High RiskProvide: 6.6%Provide with consultation only: 7.8%% Providing: 14.4%Not desired: 77.5%Privileges denied: 1.0%Liability costs prohibitive: 2.4%Fear of liability suits: 1.2%No hospital department: 3.4%Valid N: 428
GI - Flexible SigmoidoscopyProvide: 8.2%Provide with consultation only: 4.9%% Providing: 13.1%Not desired: 80.8%Privileges denied: 1.3%Liability costs prohibitive: 1.5%Fear of liability suits: 1.0%No hospital department: 2.3%Valid N: 427
OB - VBACProvide: 7.5%Provide with consultation only: 3.9%% Providing: 11.3%Not desired: 74.8%Privileges denied: 2.1%Liability costs prohibitive: 5.9%Fear of liability suits: 1.6%No hospital department: 4.3%Valid N: 429
D & CProvide: 8.2%Provide with consultation only: 2.5%% Providing: 10.7%Not desired: 82.7%Privileges denied: 1.0%Liability costs prohibitive: 2.3%Fear of liability suits: 0.8%No hospital department: 2.6%Valid N: 425
OB - Cesarean SectionProvide: 4.4%Provide with consultation only: 4.9%% Providing: 9.3%Not desired: 82.8%Privileges denied: 1.4%Liability costs prohibitive: 2.5%Fear of liability suits: 0.8%No hospital department: 3.3%Valid N: 424
NICUProvide: 3.4%Provide with consultation only: 5.2%% Providing: 8.6%Not desired: 66.1%Privileges denied: 3.2%Liability costs prohibitive: 0.7%Fear of liability suits: 0.3%No hospital department: 21.1%Valid N: 412
GI - ColonoscopyProvide: 2.6%Provide with consultation only: 5.1%% Providing: 7.7%Not desired: 84.6%Privileges denied: 2.6%Liability costs prohibitive: 2.2%Fear of liability suits: 1.0%No hospital department: 1.9%Valid N: 428
GI - EGDProvide: 2.4%Provide with consultation only: 4.4%% Providing: 6.8%Not desired: 86.5%Privileges denied: 2.3%Liability costs prohibitive: 1.3%Fear of liability suits: 1.2%No hospital department: 1.9%Valid N: 426
Tubal LigationProvide: 3.9%Provide with consultation only: 2.8%% Providing: 6.7%Not desired: 86.0%Privileges denied: 1.1%Liability costs prohibitive: 2.2%Fear of liability suits: 0.8%No hospital department: 3.2%Valid N: 419
Surgery - MajorProvide: 2.4%Provide with consultation only: 3.8%% Providing: 6.2%Not desired: 87.9%Privileges denied: 0.5%Liability costs prohibitive: 2.5%Fear of liability suits: 0.5%No hospital department: 2.4%Valid N: 407

Source: American Academy of Family Physicians, Practice Profile I Survey, April 2011