Graham Center Policy One-Pagers

These reports offer succinct summaries of research and perspectives pertinent to family practice advocacy and are produced by the Robert Graham Center: Policy Studies in Family Medicine and Primary Care in Washington, DC.

Aug 15, 2005 Issue
Osteopathic Physicians and the Family Medicine Workforce
Historically, osteopathic physicians have made an important contribution to the primary care workforce. More than one half of osteopathic physicians are primary care physicians, and most of these are family physicians. However, the proportion of osteopathic students choosing family medicine, like that of their allopathic peers, is declining, and currently is only one in five.

Aug 1, 2005 Issue
Who Filled First-Year Family Medicine Residency Positions from 1991 to 2004?
Graduates of U.S. allopathic schools have filled less than one half of the family medicine positions offered in the National Resident Matching Program (NRMP) Match since 2001. Overall fill rates in July have been relatively stable at approximately 94 percent. Family medicine has become reliant on international medical graduates (IMGs), who in 2004 made up 38 percent of first-year residents.

Jul 15, 2005 Issue
Physician Workforce: The Special Case of Health Centers and the National Health Service Corps
Federally funded health centers and the National Health Service Corps (NHSC) depend on family physicians (FPs) and general practitioners (GPs) to meet the needs of millions of medically underserved people. Policy makers and workforce planners should consider how changes in the production of FPs would affect these programs.

Jul 1, 2005 Issue
The Family Physician Workforce: The Special Case of Rural Populations
People living outside metropolitan areas, especially those living in rural counties, depend on family physicians. Resolving the disparities in physician distribution nationwide will require solutions to make rural practice a viable option for more health care workers.

Jun 15, 2005 Issue
Family Physicians and the Primary Care Physicians Workforce in 2004
In 2004, there were 91,600 family physicians (FPs) and general practitioners (GPs) and 222,000 primary care physicians actively caring for patients, one for every 1,321 persons. These primary care physicians represent the largest and best-trained primary care physician workforce that has ever existed in the United States.

Sep 15, 2004 Issue
The Importance of Having Health Insurance and a Usual Source of Care
The effects of insurance and having a usual source of care are additive. Efforts to improve health care access for all should provide a medical home and health insurance.

Jun 1, 2004 Issue
Chiropractors Are Not a Usual Source of Primary Health Care
Chiropractors are the largest source of office-based care in the United States that does not involve a physician, but people do not view chiropractors as primary providers of health care or advice. Unlike the care given by primary care providers, the majority of care provided by chiropractors is limited to musculoskeletal problems.

May 15, 2004 Issue
Few People in the United States Can Identify Primary Care Physicians
Almost one decade after the Institute of Medicine (IOM) defined primary care, only one third of the American public is able to identify any of the medical specialties that provide it, and only 17 percent were able to accurately distinguish primary care physicians from medical or surgical specialists and non-physicians. This lack of discrimination compromises the goal of achieving primary care for all and merits immediate attention.

May 15, 2004 Issue
What People Want from Their Family Physician
The public wants and is satisfied by care provided within a patient-physician relationship based on understanding, honesty, and trust. If the U.S. health care system is ever to become patient-centered, it must be designed to support these values and sustain, rather than fracture, the relationships people have with their primary physician.

Dec 15, 2003 Issue
The Ecology of Medical Care for Children in the United States: A New Application of an Old Model Reveals Inequities That Can Be Corrected
If equal and adequate access to health care for children in the United States is a goal, we are failing. That failing is most prominent in the setting where most children receive care and preventive services—the doctor's office.

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