AFP DEPARTMENT COLLECTION
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.
Feb 1, 2019 Issue
Increased Quantity but Not Proportion: U.S. Medical Schools and Family Medicine Entry 2008 to 2018
Expansion in the number of American medical schools since 2005 led to an absolute increase in graduates matching into family medicine (FM) residency programs from 2008 to 2018. Proportionally, however, FM training has become increasingly reliant on osteopathic physicians and U.S. citizens trained at international medical schools (U.S. international medical graduates).
Aug 1, 2018 Issue
High Demand, Low Supply: Health Centers and the Recruitment of Family Physicians
Expansion of the Health Centers Program has been associated with persistent workforce challenges for this critical component of the primary care safety net. In a national survey, 69% of health centers had a family physician (FP) vacancy. Those with FP vacancies reported spending an average of 11.4 months recruiting for an FP, one of the longest recruiting periods for a clinical position.
Jun 15, 2017 Issue
Family Physicians Practicing High-Volume Obstetric Care Have Recently Dropped by One-Half
Previous research has shown a decline in the percentage of family physicians practicing low- or medium-volume obstetrics. Using 13 years of data through 2016, we found continued declines in low- and medium-volume obstetrics, in addition to a new 50% decrease in family physicians providing high-volume obstetrics.
Nov 1, 2016 Issue
High-Deductible Plans May Reduce Ambulatory Care Use
Although rates of uninsured Americans are declining because of the Affordable Care Act (ACA), there is growing concern about out-of-pocket expenditures associated with private high-deductible insurance plans.
Oct 1, 2016 Issue
Rural Opioid Use Disorder Treatment Depends on Family Physicians
The nation's growing opioid use disorder epidemic disproportionately impacts rural areas, where physicians who can prescribe buprenorphine are scarcest. Among physicians approved to prescribe buprenorphine, family physicians (FPs) are the most likely to work in rural areas.
Sep 1, 2016 Issue
Family Medicine: An Underutilized Resource in Addressing the Opioid Epidemic?
Opioid overdose rates have tripled since 2000, and although overprescribing of opioids by physicians is widely accepted as a causal factor, the physician's role in providing medication-assisted treatment for opioid use disorder is less appreciated. Despite a clear willingness to prescribe opioids, few family physicians (FPs) have the necessary certification to treat opioid use disorder with buprenorphine, an effective, evidence-based treatment.
Jan 15, 2016 Issue
Only 15% of FPs Report Using Telehealth; Training and Lack of Reimbursement Are Top Barriers
In a 2014 national survey, only 15% of responding family physicians (FPs) reported using telehealth in the previous year, even though most agreed that telehealth could improve access to and continuity of care for their patients. More than one-half of FPs identified lack of training and reimbursement as key barriers to adoption of telehealth, with more than 40% noting the cost of technology and liability issues as additional barriers.
Dec 15, 2015 Issue
Fewer Americans Report a Personal Physician as Their Usual Source of Health Care
One in five Americans reports no usual source of health care, and the number of Americans reporting that they have a personal relationship with a usual source of care has declined steadily over the past 15 years. Given the positive association between having a usual source of care and the nation's Triple Aim initiative of lower health care costs, improved population health outcomes, and better patient experience, this trend is worthy of further exploration and policy-maker attention.
Nov 15, 2015 Issue
Graduates of Teaching Health Centers Are More Likely to Enter Practice in the Primary Care Safety Net
The Teaching Health Center Graduate Medical Education (THCGME) program funds new primary care residencies at community health centers caring for the nation's underserved population. In a national census of third-year family medicine residents, those who trained in teaching health centers were more likely to plan to work in safety net clinics than residents who did not train in these centers.
Sep 15, 2015 Issue
Family Physicians Contribute Significantly to Emergency Care of Medicare Patients in Urban and Suburban Areas
Rural populations rely on physicians trained in primary care to provide emergency services. Less is known about primary care’s contribution to emergency services in urban and suburban settings. Two-thirds of family medicine and three-fourths of general internal medicine Medicare claims for emergency care are generated in urban settings, demonstrating primary care’s significant contribution to the emergency workforce in the most populated areas.