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Research ArticleOriginal Article

Specialist Physicians Providing Primary Care Services in Colorado

George E. Fryer, Rachel Consoli, Thomas J. Miyoshi, Susan M. Dovey, Robert L. Phillips and Larry A. Green
The Journal of the American Board of Family Practice March 2004, 17 (2) 81-90; DOI: https://doi.org/10.3122/jabfm.17.2.81
George E. Fryer Jr
PhD
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Rachel Consoli
MD, PH
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Thomas J. Miyoshi
MSW
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Susan M. Dovey
PhD
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Robert L. Phillips Jr
MD, MSPH
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Larry A. Green
MD
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    Table 1.

    Provision of Primary Care Services by Personal, Educational, and Medical Practice Characteristics of Colorado Specialist Physicians

    Specialists Who Provide Primary CarePercentage of Time in Direct Patient Care Spent Providing Primary Care
    N%%SE
    Race/Ethnicity
     White, not Hispanic (n = 2414)112846.728.10.8
     Black, not Hispanic (n = 35)1645.733.17.2
     Asian (n = 113)5246.028.73.8
     Hispanic (n = 44)2454.531.86.1
     Other (n = 28)1139.321.26.8
    Gender****
     Male (n = 2076)93244.926.80.9
     Female (n = 505)26552.531.91.7
    Age**
     Under 35 (n = 129)7457.430.43.2
     35–44 (n = 896)39143.624.31.2
     45–54 (n = 992)45345.728.11.3
     55–64 (n = 546)26047.630.81.8
     65+ (n = 108)6358.341.44.3
    Degree***
     MD (n = 2596)119346.027.40.8
     DO (n = 114)6657.941.54.2
    Board-Certified in Primary Specialty****
     Yes (n = 2453)111245.326.90.8
     No (n = 292)16456.237.02.5
    Board-Certified in Secondary Specialty*
     Yes (n = 404)20851.524.81.9
     No (n = 2341)106845.628.50.9
    Primary Practice Location*
     Rural (non-MSA) county (n = 261)13451.333.02.6
     Urban (MSA) county (n = 2480)106845.627.40.8
    Moved Practice Location in Last 2 Years
     Yes (n = 412)19246.627.21.9
     No (n = 2215)103046.528.20.8
    Practice Type
     Solo (n = 617)28145.530.21.6
     Partnership/group (n = 1684)80347.728.31.0
     State salary/contract (n = 129)5744.225.83.5
     Municipal salary/contract (n = 81)3644.426.74.4
     Other contract (n = 197)9347.228.12.8
     Medical school (n = 108)4138.015.32.7
    Practice Facility
     Clinic/treatment center (n = 1834)88948.527.40.9
     Hospital (n = 1929)90346.826.40.9
     Nursing home (n = 62)3658.138.15.5
     Teaching institution (n = 312)14446.223.32.0
    Hours Direct Patient Care Per Week****
     Under 35 (n = 512)28856.342.42.0
     35–39 (n = 309)16152.136.32.4
     40–44 (n = 342)15745.928.92.2
     45–49 (n = 419)19045.326.11.9
     50–54 (n = 357)16245.423.51.9
     55–59 (n = 248)10241.120.22.1
     60+ (n = 558)21638.717.21.3
    Accepting New Patients**
     Yes (n = 2159)99245.926.70.8
     No (n = 586)28448.532.61.7
    Accepting New Medicaid Patients***
     Yes (n = 1687)75344.625.10.9
     No (n = 1058)52349.432.41.3
    Provide Care to Medicaid Patients**
     Yes (n = 2267)103745.726.60.8
     No (n = 361)18250.435.32.2
    Accepting New Medicare Patients**
     Yes (n = 1854)84045.326.00.9
     No (n = 891)43648.932.01.4
    Provide Care to Medicare Patients
     Yes (n = 2330)108146.427.40.8
     No (n = 205)9345.432.02.4
    • Note: Respondents could report more than one practice type and facility.

    • * P < .05 for χ2 test and analysis of variance.

    • ** P < .01 for χ2 test and analysis of variance.

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    Table 2.

    Provision of Primary Care Services by Medical Specialties of Colorado Specialist Physicians

    Specialists Who Provide Primary CarePercent of Time in Direct Patient Care Spent Providing Primary Care
    N%%SE
    Primary Medical Specialty
     Allergy/Immunology (n = 39)2051.328.36.3
     Anesthesiology (n = 294)5117.311.81.8
     Cardiology (n = 88)3742.020.23.9
     Dermatology (n = 64)2945.330.55.2
     Emergency Medicine (n = 252)21083.366.62.5
     Endocrinology/Diabetes/Metabolism (n = 23)1356.519.36.5
     Gastroenterology (n = 56)1933.911.93.6
     Geriatrics (n = 23)1773.970.19.1
     Infectious Disease (n = 25)1872.025.36.4
     Nephrology (n = 29)1862.19.22.2
     Neurological Surgery (n = 24)416.711.66.2
     Neurology (n = 62)812.97.12.8
     Obstetrics/Gynecology (n = 267)24792.546.41.8
     Oncology (n = 62)3048.425.85.0
     Ophthalmology (n = 147)8960.547.53.6
     Orthopedics (n = 160)5735.618.92.7
     Otolaryngology (n = 65)3655.426.34.5
     Pathology (n = 85)1517.615.43.9
     Physical Medicine/Rehabilitation (n = 69)2942.026.04.8
     Plastic Surgery (n = 51)1529.413.44.2
     Preventive Medicine (n = 21)1990.574.87.8
     Psychiatry (n = 297)10535.424.52.3
     Radiology (n = 183)3820.813.02.3
     Surgery (n = 153)5334.614.22.5
     Urology (n = 61)2337.712.93.5
     Other (n = 145)7652.424.93.1
    Secondary Medical Specialty
     Family Practice (n = 39)2974.462.57.2
     Internal Medicine (n = 207)12058.025.52.6
     Pediatrics (n = 47)1634.017.95.0
     Other (n = 198)9045.523.12.6
     None (n = 2248)101645.228.10.8
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The Journal of the American Board of Family Practice: 17 (2)
The Journal of the American Board of Family Practice
Vol. 17, Issue 2
1 Mar 2004
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Specialist Physicians Providing Primary Care Services in Colorado
George E. Fryer, Rachel Consoli, Thomas J. Miyoshi, Susan M. Dovey, Robert L. Phillips, Larry A. Green
The Journal of the American Board of Family Practice Mar 2004, 17 (2) 81-90; DOI: 10.3122/jabfm.17.2.81

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Specialist Physicians Providing Primary Care Services in Colorado
George E. Fryer, Rachel Consoli, Thomas J. Miyoshi, Susan M. Dovey, Robert L. Phillips, Larry A. Green
The Journal of the American Board of Family Practice Mar 2004, 17 (2) 81-90; DOI: 10.3122/jabfm.17.2.81
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