Primary care and behavioral health practice size: the challenge for health care reform
| Autor: | Hyong Un, Mark S. Bauer, Zongshan Lai, Deane Leader, Amy M. Kilbourne |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
Mental Health Services
medicine.medical_specialty Article Insurance Claim Review Ambulatory care Nursing Health care Medicine Humans Practice Patterns Physicians' Unlicensed assistive personnel Curative care Health policy Quality of Health Care Psychiatry Primary Health Care business.industry Data Collection Public Health Environmental and Occupational Health International health United States Family medicine Health Care Reform Health law Health care reform business |
| Zdroj: | Medical care. 50(10) |
| ISSN: | 1537-1948 |
| Popis: | INTRODUCTION We investigated the size profile of US primary care and behavioral health physician practices since size may impact the ability to institute care management processes (CMPs) that can enhance care quality. METHOD We utilized 2009 claims data from a nationwide commercial insurer to estimate practice size by linking providers by tax identification number. We determined the proportion of primary care physicians, psychiatrists, and behavioral health providers practicing in venues of >20 providers per practice (the lower bound for current CMP practice surveys). RESULTS Among primary care physicians (n=350,350), only 2.1% of practices consisted of >20 providers. Among behavioral health practitioners (n=146,992) and psychiatrists (n=44,449), 1.3% and 1.0% of practices, respectively, had >20 providers. Sensitivity analysis excluding single-physician practices as "secondary" confirmed findings, with primary care and psychiatrist practices of >20 providers comprising, respectively, only 19.4% and 8.8% of practices (difference: P |
| Databáze: | OpenAIRE |
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