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Are Direct Primary Care Practices Located in Health Professional Shortage Areas?
Journal article   Open access   Peer reviewed

Are Direct Primary Care Practices Located in Health Professional Shortage Areas?

Neal D Goldstein and Paul Yerkes
Annals of family medicine, v 22(6), pp 522-524
Nov 2024
PMID: 39586711
url
https://doi.org/10.1370/afm.3168View
Published, Version of Record (VoR) Open

Abstract

Humans Medically Underserved Area Physicians, Primary Care - statistics & numerical data Physicians, Primary Care - supply & distribution Primary Health Care - statistics & numerical data Rural Health Services - statistics & numerical data Rural Health Services - supply & distribution United States United States Health Resources and Services Administration Workforce
Direct primary care (DPC) is a model of health care delivery that relies on membership fees for service; however, it has been criticized as potentially worsening the shortage of primary care physicians. We sought to compare the distribution of DPC practices in the United States to that of non-DPC primary care and assess the overlap with Health Resources and Services Administration designated health professional shortage areas (HPSAs). We mined data from publicly available sources on DPC practices, HPSAs, and other primary care physicians. We stratified analyses by degree of rurality and HPSA priority need scores. We found that DPC practices were less likely to be in HPSAs overall and less likely to be in a high-priority-need HPSA but more likely to be in a rural or partially rural HPSA compared to primary care physicians. There is ample opportunity to grow DPC presence in many HPSAs that remain underserved, especially high-priority HPSAs in urban areas.

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Primary Health Care
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