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Forecasting and adapting to the family medicine workforce shortage

The Health Policy Exchange

In the mid-1990s, the American Medical Association confidently predicted that the penetration of managed care would lead to a large "physician surplus" and convinced Congress to cap the number of graduate medical education (GME) positions subsidized by the Medicare program. Two decades later, there is a widespread consensus that the U.S.

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Cardiovascular risk management of patients with depression in Dutch general practices [Behavioral, psychosocial, and mental illness]

Annals of Family Medicine

In the Netherlands GPs are also responsible for cardiovascular risk management (CVRM), for which a guideline is made. Objective: To investigate whether the cardiovascular risk management of Dutch GPs differs in patients with and without depression. Outcome Measures: Registration of cardiovascular risk management.

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Practice and Community-Level Variations in Primary Care Panel Size [Health care services, delivery, and financing]

Annals of Family Medicine

We adjusted for missing commercial insurance claims and excluded outliers (clinicians seeing <100 patients or >7500 patients in a year). Rural PCPs tended to manage larger panels than their urban counterparts (1512 vs. 1409, p<0.01).

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The Massachusetts Avenue of health reform

The Health Policy Exchange

In contrast to the personality-driven path that Lyndon Johnson took to navigate legislative obstacles to Medicare and Medicaid, former management consultant Mitt Romney charted a decidedly different course to expanding health insurance when he became governor of Massachusetts in 2003. Owning a car is a choice. in 2006 to 1.9%

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Maryland's Primary Care Program: incremental progress or breakthrough?

The Health Policy Exchange

Our residency, formerly a collaboration with Providence Hospital, is now known as the Medstar Health/Georgetown-Washington Hospital Center Family Medicine Residency Program. What hasn't changed is that our family medicine residents remain excited about health policy and advocacy. Phillips, Jr.

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Intensity of medication review activities in private and public clinics [Prescribing and pharmacotherapeutics]

Annals of Family Medicine

The patients in the public clinic were less likely to have insurance for medications (77.4 vs 2.1%), self-management (21.3 Time-motion studies and fee-for-service payment in primary care should consider the profound impact of practice settings influenced by insurance coverage and social determinants. vs 64.1%), and pain (55.6

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Churning out of insurance among patients with diabetes served in US Community Health Centers [Economic or policy analysis]

Annals of Family Medicine

Health insurance instability may be particularly challenging for patients with diabetes who need regular chronic care management to reduce the risk of diabetes complications. Outcome Measures: Churning was defined as having two or more consecutive uninsured visits after the baseline insured visit.