Page 6 - Kansas Journal of Medicine, Volume 10 Issue 1
P. 6

KANSAS JOURNAL of M E D I C I N E

DIRECT PRIMARY CARE
continued.

	

Table 1. Practice and physician characteristics from 2015

survey.

Average Weekly Work Hours        % of Respondents

         < 40 26.3

         41 - 50                 47.4

         51 - 60                 15.8

         61 - 70                 5.3

         71 - 80                 2.6                                         Figure 3. Percent of practices reporting various amenities in 2015.

         Rural Vs Urban                                                      Figure 4. Selected comparisons to 2005 survey results. Note that no
                                                                             tests for statistical significance were used.
         Rural                   35.1
                                                                             This assumption was based on the projected patient panel
         Urban                   64.9                                        size, a number that reflects the eventual goals DPC providers
                                                                             have for their practice and community. Providing more af-
Transitioned DPC vs De Novo DPC                                              fordable care to an increased number of patients than previ-
                                                                             ously suggested expands the reach and impact that DPC may
         De Novo DPC             38.9                                        have on communities at large, compatible with the Healthy
                                                                             People 2020 goal of increasing patient access to primary care.
         Transitioned DPC        61.1
                                                                                Additionally, as many as one-third of primary care physicians
Number of Staff in Practice                                                  may have a high level of burnout, making the delivery of qual-
                                                                             ity care highly dependent on physician and practice environ-
         One 33.3                                                            ment.8,11 One identified factor of burnout is patient panel size.8
                                                                             The increase in projected patient panel size of DPC practices,
         Two 19.4                                                            though well below that of traditional practice models,12 could
                                                                             suggest that DPC physicians are improving the balance between
         Three                   13.9                                        meeting needs of the community and their lifestyle. Additional
                                                                             factors addressed in this survey that are known to affect phy-
         Four                    11.1                                        sician satisfaction and specialty choice include reduced paper-
                                                                             work13 resulting from decreased insurance billing, and similar
         Five 11.1                                                           salaries and work hours compared to traditional primary care
                                                                             physicians.14 Practicing in a model such as this may attract more
         Six 5.6                                                             emerging physicians to enter primary care, contributing to the
                                                                             Healthy People 2020 goal of increasing primary care supply.
         > 20 5.6
                                                                                Limitations. The shift in training of DPC physicians from
    Figure 1. States of responding practices. Darker color indicates higher  mainly internal medicine (62 - 77%) in 2005 to family medi-
    number of responses in state.                                            cine (86%) is difficult to interpret and is a potential limita-
                                                                             tion of the study, questioning the sampling of practices and
    Figure 2. Current and projected incomes for DPC practices from 2015      generalizability of the results. This study’s result, however, is
    survey results.

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