Article Figures & Data
Figures
- Figure 1.
A. Primary care practice distribution in Virginia (n = 1622). B. Primary care practice survey response distribution in Virginia (n = 484).
Tables
General Practice Characteristics Practice type Sole primary care
401/466 (86.1%) Primary-specialty mix
65/466 (13.9%) Organization Part of a medical group
192/484 (39.7%) Part of a health system
135/484 (27.9%) Ownership Hospital/health system
107/427 (25.1%) Clinician owner
228/427 (53.4%) Clinician partially owned
11/427 (2.6%) Private sponsor corporation
76/427 (17.8%) Insurance company
0/427 (0.0%) University
5/427 (1.2%) Provides direct primary care Yes, for all patients
52/461 (11.3%) Yes, for some patients
28/461 (6.1%) No
381/461 (82.7%) Additional characteristics Has patient-centered medical home recognition
157/458 (34.3%) Part of an accountable care organization
226/450 (50.2%) Practice location by zip code* Urban
85/479 (17.8%) Suburban
140/479 (29.2%) Rural
254/479 (53.0%) Practice Clinicians Mean (range) of practice clinician full=time equivalent (FTE) Family medicine physicians
2.4 (0.0 to 15.0) Internal medicine physicians
1.5 (0.0 to 15.0) Pediatricians†
0.3 (0.0 to 5.0) Nurse practitioners
2.0 (0.0 to 11.0) Physician assistants
1.4 (0.0 to 20.0) Mean (range) of total practice provider FTE per practice 4.5 (0.0 to 36.0) Average (range) of practice care team member FTE Psychiatrist or psychiatric nurse practitioner
0.8 (0.0 to 2.0) Psychologist
1.3 (0.5-3.0) Social worker
1.0 (0.1 to 4.0) Case manager or care coordinator
1.2 (0 to 4.0) Mean (range) of total care team member FTE per practice 1.7 (0.1 to 7.4) Practice Patients Mean percent of patients seen in practices (and Virginia State mean)c White
64.4% (69.4%) African American or Black
24.5% (19.9%) Asian or Pacific Islander
8.3% (7.0%) Native American or Alaska Native
2.8% (0.5%) Hispanic or Latinx
11.1% (9.8%) Mean number of (range) patients seen per full day of patient care per provider 19.9 (10.0 to 40.0) Percent of practices with a provider who can deliver care in a language other than English 144/348 (41.4%) Mean estimated payer mix for practices (and Virginia state average)‡ Commercial or private insurance
48.2% (56.0%) Medicare
29.4% (18.1%) Medicaid
11.9% (16.6%) Uninsured
10.2% (9.3%) Percent of practices accepting new patients with Commercial or private insurance
418/437 (95.6%) Medicare
295/430 (68.6%) Medicaid
378/430 (87.9%) Uninsured
382/426 (89.7%) Improved Access to Care % Practices with Feature Provision of Behavioral Health % Practices Offering Service Helping Patients Address Social Needs % Practices Addressing Need Same-day appointments 434/484 (89.7%) Mental health screening 405/484 (83.7%) Social isolation 316/409 (77.3%) Evening and weekend access 204/484 (42.2%) Communicate with mental health providers 282/484 (56.3%) Intimate partner violence 337/416 (81.0%) 24-hour phone service 326/484 (67.4%) Hand off patients to mental health providers 253/484 (52.3%) Food insecurity 210/402 (52.2%) Telehealth visits 102/484 (21.1%) Colocated mental health 88/484 (18.2%) Lack of transportation 247/415 (59.5%) Group visits 53/484 (11.0%) Smoking cessation counseling 390/484 (80.6%) Unstable housing 213/408 (52.2%) Patient portal 351/484 (72.5%) Alcohol misuse treatment 319/484 (65.9%) Limited health literacy 303/407 (74.5%) Onsite laboratory services 342/484 (70.7%) Opioid treatment 112/484 (23.1%) Unemployment 159/409 (38.9%) Onsite radiology service 147/484 (30.4%) Medication assistance therapy for opioids 112/484 (23.1%) Out-of-pocket medical costs 340/418 (81.3%) Practice Stress % Practices That Experienced Stress in Previous Year % Practices That Anticipate Experiencing the Stress in Next Year Have clinician turnover 64/484 (13.2%) 25/484 (5.2%) Have a major office renovation 55/484 (11.4%) 34/484 (7.0%) Adopt a new electronic medical record system 43/484 (8.9%) 18/484 (3.7%) Adopt a new billing system 32/484 (6.6%) 15/484 (3.1%) Move office to a new location 29/484 (6.0%) 24/484 (5.0%) Change practice ownership 13/484 (2.7%) 9/484 (1.9%) Report any stress 154/484 (31.8%) 91/484 (18.8%)
