Implementing High-Quality Primary Care Rebuilding the Foundation of Health Care (2021) / Chapter Skim
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Appendix E: The Health of Primary Care: A U.S. Scorecard
Appendix E: The Health of Primary Care: A U.S. Scorecard
Pages 417-428
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From page 417... ...
The scorecard covers most report recommendations as objectives and offers data sources and example data, where possible, for dimension-related measures for each objective. Very few of the 1996 report recommendations, or those for most past Institute of Medicine reports about primary care, have ever been actualized.
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From page 418... ...
Despite the committee's emphasis on team-based care and training throughout the report, robust data sources for non-physician team members and teambased care itself continue to pose a challenge. This reality is reflected in the proposed measures below.
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From page 419... ...
Measure 1.1: Percentage of total spend going to primary care -- commercial insurance Potential data sources: Sample performance: Medical Expenditure Panel Survey MEPS data (2011–2016)
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From page 420... ...
Comments: Definitions are important when calculating the percentage of total health care spending directed to primary care; differences in the definitions used are listed below. The source data also differ, sometimes even within a source; for example, The Commonwealth Fund estimates for Medicare spending derive from the CMS LDS file, which is easier to access and analyze than the MMBSF.
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From page 421... ...
3 Reiff et al.'s narrow definition includes evaluation and management visits, vaccinations, care planning, "and other related services" rendered by family practice, geriatric medicine, gynecology, internal medicine, or pediatric physicians; physician assistants; or nurse practitioners. 4 Reiff et al.'s broad definition includes all services rendered by those same primary care clini cians.
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From page 422... ...
Measure 2.4: Primary care physicians per 100,000 people in areas that are not medically underserved Data sources: No known score HRSA area resource file (HRSA, 2019) , HRSA MUA shape files (HRSA, 2020a)
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From page 423... ...
working in primary care Potential data sources: Sample performance: AMA Physician Masterfile (AMA, Physicians (2017) : 31.9 percent 2021)
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From page 424... ...
The committee is not aware of adequate measures or data sources that capture the use or availability of person-centered digital health in primary care (or any health care) settings, underscoring the urgency for further research in this area.
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From page 425... ...
While this report has cited numerous examples of best practices and presented an evidence-based vision for implementing high-quality primary care, primary care research is woefully underfunded and underdeveloped. Enhancing the evidence base could propel the field, to the benefit of all Americans.
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From page 426... ...
2019. Primary care office visits for acute care dropped sharply in 2002–15, while ED visits increased modestly.
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From page 427... ...
2020. Trends in pedi atric primary care visits among commercially insured U.S.
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