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Research ArticlePolicy Brief

Primary Care Physician Leadership in Top Ranked US Hospitals

Erin E. Sullivan, Amber L. Stephenson, Wai Wai Khaing, Andrew Bazemore and Aaron R. Hoffman
The Journal of the American Board of Family Medicine August 2023, 36 (4) 682-684; DOI: https://doi.org/10.3122/jabfm.2022.220371R1
Erin E. Sullivan
From the Sawyer School of Business, Suffolk University, Boston, MA, USA (EES, WWK); Center for Primary Care, Harvard Medical School, Boston, MA, USA (EES, ARH); David D. Reh School of Business, Clarkson University Capital Region Campus, Schenectady, NY (ALS); American Board of Family Medicine, Lexington, KY (AB); Center for Professionalism & Value in Healthcare, Washington, DC (AB); Atrius Health, Boston, MA (ARH); MGH Institute of Health Professions, Boston, MA (ARH).
PhD
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Amber L. Stephenson
From the Sawyer School of Business, Suffolk University, Boston, MA, USA (EES, WWK); Center for Primary Care, Harvard Medical School, Boston, MA, USA (EES, ARH); David D. Reh School of Business, Clarkson University Capital Region Campus, Schenectady, NY (ALS); American Board of Family Medicine, Lexington, KY (AB); Center for Professionalism & Value in Healthcare, Washington, DC (AB); Atrius Health, Boston, MA (ARH); MGH Institute of Health Professions, Boston, MA (ARH).
PhD, MPH
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Wai Wai Khaing
From the Sawyer School of Business, Suffolk University, Boston, MA, USA (EES, WWK); Center for Primary Care, Harvard Medical School, Boston, MA, USA (EES, ARH); David D. Reh School of Business, Clarkson University Capital Region Campus, Schenectady, NY (ALS); American Board of Family Medicine, Lexington, KY (AB); Center for Professionalism & Value in Healthcare, Washington, DC (AB); Atrius Health, Boston, MA (ARH); MGH Institute of Health Professions, Boston, MA (ARH).
BDS
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Andrew Bazemore
From the Sawyer School of Business, Suffolk University, Boston, MA, USA (EES, WWK); Center for Primary Care, Harvard Medical School, Boston, MA, USA (EES, ARH); David D. Reh School of Business, Clarkson University Capital Region Campus, Schenectady, NY (ALS); American Board of Family Medicine, Lexington, KY (AB); Center for Professionalism & Value in Healthcare, Washington, DC (AB); Atrius Health, Boston, MA (ARH); MGH Institute of Health Professions, Boston, MA (ARH).
MD, MPH
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Aaron R. Hoffman
From the Sawyer School of Business, Suffolk University, Boston, MA, USA (EES, WWK); Center for Primary Care, Harvard Medical School, Boston, MA, USA (EES, ARH); David D. Reh School of Business, Clarkson University Capital Region Campus, Schenectady, NY (ALS); American Board of Family Medicine, Lexington, KY (AB); Center for Professionalism & Value in Healthcare, Washington, DC (AB); Atrius Health, Boston, MA (ARH); MGH Institute of Health Professions, Boston, MA (ARH).
DO, MPH
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    Figure 1.

    Overall proportion of leadership representation on top hospital lists. Abbreviations: PCP, Primary care physician; USNWR, US news and world reports.

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    Table 1.

    Leadership Characteristics of CEOs on Top Hospital Lists

    List Source
    Leadership CharacteristicsBecker (n = 101*)Leapfrog (n = 150*)Lown (n = 74+)USNWR (n = 20)
    Physician
     Physician38 (37.6)22 (14.7)15 (20.3)13 (65.0)
     Non-physician63 (62.4)128 (85.3)59 (79.7)7 (35.0)
     Primary Care Physician (PCP)7 (6.9)7 (4.7)3 (4.1)1 (5.0)
     Non-PCP31 (30.7)15 (10.0)12 (16.2)12 (60.0)
    Physician Gender
     Female Physician3 (3.0)4 (2.7)1 (1.4)0 (0.0)
     Male Physician35 (34.7)18 (12.0)14 (18.9)13 (65.0)
     Female PCP1 (1.0)0 (0.0)1 (1.4)0 (0.0)
     Male PCP6 (5.9)7 (4.7)2 (2.7)1 (5.0)
    Physician Specialty∧Becker (n = 38)Leapfrog (n = 22)Lown (n = 15)USNWR (n = 13)
    Subspecialty Care
     Anesthesia5 (13.2)2 (9.1)1 (6.7)1 (7.7)
     Emergency Med3 (7.9)3 (13.6)2 (13.3)1 (7.7)
     General Surgery2 (5.3)0 (0.0)1 (6.7)0 (0.0)
     Informatics1 (2.6)0 (0.0)0 (0.0)0 (0.0)
     Medical Subspecialty9 (23.7)2 (9.1)1 (6.7)5 (38.5)
     OBGYN2 (5.3)0 (0.0)3 (20.0)0 (0.0)
     Ophthalmology0 (0.0)1 (4.5)0 (0.0)0 (0.0)
     Pathology1 (2.6)0 (0.0)0 (0.0)0 (0.0)
     Pediatric Subspecialty2 (5.3)1 (4.5)1 (6.7)0 (0.0)
     Psychiatry1 (2.6)0 (0.0)0 (0.0)1 (7.7)
     Radiology1 (2.6)0 (0.0)0 (0.0)1 (7.7)
     Surgical Subspecialty4 (10.5)4 (18.2)3 (20.0)3 (23.1)
     Urology0 (0.0)2 (9.1)0 (0.0)0 (0.0)
     Subtotal31 (81.6)15 (68.2)12 (80.0)12 (92.3)
    Primary Care
     Family Medicine1 (2.6)0 (0.0)0 (0.0)0 (0.0)
     Internal Medicine5 (13.2)6 (27.3)3 (20.0)1 (7.7)
     Pediatric Primary Care1 (2.6)0 (0.0)0 (0.0)0 (0.0)
     Preventive Medicine0 (0.0)1 (4.5)0 (0.0)0 (0.0)
     Subtotal7 (18.4)7 (31.8)3 (20.0)1 (7.7)
    • Notes. Due to the structure of each list, duplication of individual leaders was possible based on multiple site inclusion per list.

    • ↵*Becker and Leapfrog both had one entity that used a co-leadership structure.

    • +One hospital was removed from the Lown list as it was not a service delivery organization.

    • ∧Proportion calculations about physician specialty were isolated to the total number of physician leaders on each list.

    • Abbreviation: USNWR, US news and world reports.

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The Journal of the American Board of Family     Medicine: 36 (4)
The Journal of the American Board of Family Medicine
Vol. 36, Issue 4
July-August 2023
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Primary Care Physician Leadership in Top Ranked US Hospitals
Erin E. Sullivan, Amber L. Stephenson, Wai Wai Khaing, Andrew Bazemore, Aaron R. Hoffman
The Journal of the American Board of Family Medicine Aug 2023, 36 (4) 682-684; DOI: 10.3122/jabfm.2022.220371R1

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Primary Care Physician Leadership in Top Ranked US Hospitals
Erin E. Sullivan, Amber L. Stephenson, Wai Wai Khaing, Andrew Bazemore, Aaron R. Hoffman
The Journal of the American Board of Family Medicine Aug 2023, 36 (4) 682-684; DOI: 10.3122/jabfm.2022.220371R1
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