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Research ArticleOriginal Research

Relationship Between Primary Care Physician Capacity and Usual Source of Care

Michael Topmiller, Hannah Shadowen, Hoon Byun, Mark Carrozza, Jeongyoung Park, Yalda Jabbarpour and Alison Huffstetler
The Journal of the American Board of Family Medicine May 2024, 37 (3) 436-443; DOI: https://doi.org/10.3122/jabfm.2023.230400R1
Michael Topmiller
From The Robert Graham Center for Policy Studies in Family Medicine, American Academy of Family Physicians, Cincinnati, OH, Washington, DC (MT, HB, MC, JYP, YJ, AH); Department of Health Behavior and Policy, Virginia Commonwealth University, Richmond, VA (HS).
PhD
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Hannah Shadowen
From The Robert Graham Center for Policy Studies in Family Medicine, American Academy of Family Physicians, Cincinnati, OH, Washington, DC (MT, HB, MC, JYP, YJ, AH); Department of Health Behavior and Policy, Virginia Commonwealth University, Richmond, VA (HS).
MPH
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Hoon Byun
From The Robert Graham Center for Policy Studies in Family Medicine, American Academy of Family Physicians, Cincinnati, OH, Washington, DC (MT, HB, MC, JYP, YJ, AH); Department of Health Behavior and Policy, Virginia Commonwealth University, Richmond, VA (HS).
DrPH
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Mark Carrozza
From The Robert Graham Center for Policy Studies in Family Medicine, American Academy of Family Physicians, Cincinnati, OH, Washington, DC (MT, HB, MC, JYP, YJ, AH); Department of Health Behavior and Policy, Virginia Commonwealth University, Richmond, VA (HS).
MA
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Jeongyoung Park
From The Robert Graham Center for Policy Studies in Family Medicine, American Academy of Family Physicians, Cincinnati, OH, Washington, DC (MT, HB, MC, JYP, YJ, AH); Department of Health Behavior and Policy, Virginia Commonwealth University, Richmond, VA (HS).
PhD
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Yalda Jabbarpour
From The Robert Graham Center for Policy Studies in Family Medicine, American Academy of Family Physicians, Cincinnati, OH, Washington, DC (MT, HB, MC, JYP, YJ, AH); Department of Health Behavior and Policy, Virginia Commonwealth University, Richmond, VA (HS).
MD
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Alison Huffstetler
From The Robert Graham Center for Policy Studies in Family Medicine, American Academy of Family Physicians, Cincinnati, OH, Washington, DC (MT, HB, MC, JYP, YJ, AH); Department of Health Behavior and Policy, Virginia Commonwealth University, Richmond, VA (HS).
MD
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References

  1. 1.↵
    National Academies of Sciences, Engineering, and Medicine. 2021. Implementing high-quality primary care: Rebuilding the foundation of health care. Washington, DC: The National Academies Press.
  2. 2.↵
    1. Jabbarpour Y,
    2. Petterson S,
    3. Jetty A,
    4. Byun H
    . 2022. The health of US primary care: a baseline scorecard tracking support for high-quality primary care. The Milbank Memorial Fund and the Physicians Foundation. Available at: https://www.milbank.org/publications/health-of-us-primary-care-a-baseline-scorecard/.
  3. 3.↵
    Centers for Disease Control and Prevention (CDC). National Health Interview Survey (NHIS) Atlanta, GA: US Department of Health and Human Services.
  4. 4.↵
    Centers for Disease Control and Prevention (CDC). Behavioral Risk Factor Surveillance System Survey Questionnaire. Atlanta, GA: US Department of Health and Human Services.
  5. 5.↵
    Agency for Healthcare Research and Quality (AHRQ). Medical Expenditure Panel Survey (MEPS). Available at: https://meps.ahrq.gov/mepsweb/data_stats/MEPS_topics.jsp?topicid=44Z-1#:∼:text=Description%3A%20Usual%20source%20of%20care,about%20his%20or%20her%20health.
  6. 6.↵
    1. Lee DC,
    2. Shi L,
    3. Wang J,
    4. Sun G
    . Usual source of care and access to care in the US: 2005 vs. 2015. PloS one 2023;18:e0278015.
    OpenUrlCrossRef
  7. 7.↵
    1. Liaw W,
    2. Petterson S,
    3. Rabin DL,
    4. Bazemore A
    . The impact of insurance and usual source of care on emergency department use in the United States. Int J Fam Med 2014;2014:842847.
    OpenUrl
  8. 8.↵
    1. Xu KT
    . Usual source of care in preventive service use: a regular doctor versus a regular site. Health Serv Res 2002;37:1509–29.
    OpenUrlCrossRefPubMedWeb of Science
  9. 9.↵
    1. DeVoe JE,
    2. Fryer GE,
    3. Phillips R,
    4. et al
    . Receipt of preventive care among adults: insurance status and usual source of care. Am J Public Health 2003;93:786–91.
    OpenUrlCrossRefPubMedWeb of Science
  10. 10.↵
    1. Kim MY,
    2. Kim JH,
    3. Choi IK,
    4. Hwang IH,
    5. Kim SY
    . Effects of having usual source of care on preventive services and chronic disease control: a systematic review. Korean J Fam Med 2012;33:336–45.
    OpenUrl
  11. 11.↵
    1. Blewett LA,
    2. Johnson PJ,
    3. Lee B,
    4. Scal PB
    . When a usual source of care and usual provider matter: adult prevention and screening services. J Gen Intern Med 2008;23:1354–60.
    OpenUrlCrossRefPubMedWeb of Science
  12. 12.↵
    1. Liaw W,
    2. Jetty A,
    3. Petterson S,
    4. et al
    . Trends in the types of usual sources of care: a shift from people to places or nothing at all. Health Serv Res 2018;53:2346–67.
    OpenUrlCrossRef
  13. 13.↵
    1. Kirby JB,
    2. Yabroff KR
    . Rural-urban differences in access to primary care: beyond the usual source of care provider. Am J Prev Med 2020;58:89–96.
    OpenUrlCrossRef
  14. 14.↵
    1. Huffstetler AN,
    2. Jetty A,
    3. Greiner A,
    4. Jabbarpour Y
    . Relationships matter: primary care physicians and usual source of care. Am Fam Phys 2023;107:356–7.
    OpenUrl
  15. 15.↵
    1. Jabbarpour Y,
    2. Greiner A,
    3. Jetty A,
    4. et al
    . 2022. Relationships matter: how usual is usual source of (primary) care? The Primary Care Collaborative and the Robert Graham Center. Available at: https://www.graham-center.org/content/dam/rgc/documents/publications-reports/reports/pcc-evidence-report-2022.pdf.
  16. 16.↵
    HIS Markit Ltd. 2021. The Complexities of Physician Supply and Demand: Projections From 2019 to 2034. Washington, DC: Association of American Medical Colleges (AAMC).
  17. 17.↵
    1. Petterson SM,
    2. Phillips RL Jr.,
    3. Bazemore AW,
    4. Koinis GT
    . Unequal distribution of the U.S. primary care workforce. Am Fam Phys 2013;87.
  18. 18.↵
    1. Fu LY,
    2. Cowan N,
    3. McLaren R,
    4. Engstrom R,
    5. Teach SJ
    . Spatial accessibility to providers and vaccination compliance among children with Medicaid. Pediatrics 2009;124:1579–86.
    OpenUrlCrossRefPubMed
  19. 19.↵
    1. Kravet SJ,
    2. Shore AD,
    3. Miller R,
    4. Green GB,
    5. Kolodner K,
    6. Wright SM
    . Health care utilization and the proportion of primary care physicians. Am J Med 2008;121:142–8.
    OpenUrlCrossRefPubMedWeb of Science
  20. 20.↵
    1. Continelli T,
    2. McGinnis S,
    3. Holmes T
    . The effect of local primary care physician supply on the utilization of preventive health services in the United States. Health Place 2010;16:942–51.
    OpenUrlCrossRefPubMedWeb of Science
  21. 21.↵
    1. Lowe RA,
    2. Fu R,
    3. Ong ET,
    4. et al
    . Community characteristics affecting emergency department use by Medicaid enrollees. Med Care 2009;47:15–22.
    OpenUrlCrossRefPubMedWeb of Science
  22. 22.↵
    1. Mathison DJ,
    2. Chamberlain JM,
    3. Cowan NM,
    4. et al
    . Primary care spatial density and nonurgent emergency department utilization: a new methodology for evaluating access to care. Acad Pediatr 2013;13:278–85.
    OpenUrlCrossRefPubMed
  23. 23.↵
    1. Freeman VL,
    2. Naylor KB,
    3. Boylan EE,
    4. et al
    . Spatial access to primary care providers and colorectal cancer-specific survival in Cook County, Illinois. Cancer Med 2020;9:3211–23.
    OpenUrl
  24. 24.↵
    1. McLaughlin CG,
    2. Wyszewianski L
    . Access to care: remembering old lessons. Health Serv Res 2002;37:1441–3.
    OpenUrlCrossRefPubMed
  25. 25.↵
    1. Butler DC,
    2. Petterson S,
    3. Phillips RL,
    4. Bazemore AW
    . Measures of social deprivation that predict health care access and need within a rational area of primary care service delivery. Health Serv Res 2013;48:2539–59.
    OpenUrlCrossRefPubMedWeb of Science
  26. 26.↵
    1. Giammarino AM,
    2. Qiu H,
    3. Bulsara K,
    4. et al
    . Community socioeconomic deprivation predicts nonalcoholic steatohepatitis. Hepatol Commun 2022;6:550–60.
    OpenUrl
  27. 27.↵
    No Usual Source of Care. Robert Graham Center—policy studies in family medicine & primary care. (2018). Available from: Available at: https://udsmapper.org/data-estimation-methodologies/.
  28. 28.↵
    University of Wisconsin Population Health Institute. County Health Rankings 2023. Available at: https://www.countyhealthrankings.org/explore-health-rankings/rankings-data-documentation.
  29. 29.↵
    U.S. Census Bureau. (2021). 2017-2021 American Community Survey 5-year estimates. Available at: https://www.census.gov/data/developers/data-sets/acs-5year.html.
  30. 30.↵
    Social Deprivation Index (SDI). Robert Graham Center—policy studies in family medicine & primary care.(2020). Available at: https://www.graham-center.org/maps-data-tools/social-deprivation-index.html.
  31. 31.↵
    Geographic Variation Public Use File (PUF). 2021. Centers for Medicare and Medicaid Services (CMS). Available at: https://data.cms.gov/resources/geographic-variation-methodology.
  32. 32.↵
    1. Anselin L,
    2. Syabri I,
    3. Kho Y
    . GeoDa: an introduction to spatial data analysis. Geog Analysis 2006;38:5–22.
    OpenUrl
  33. 33.↵
    1. Carr DB,
    2. Pickle LW
    . Visualizing data patterns with micro-maps. 2010. Taylor and Francis, LLC. Boca Raton, FL.
  34. 34.↵
    1. Mallow PJ,
    2. Topmiller M,
    3. Rankin J,
    4. et al
    . Identifying priority and “bright spot” counties for diabetes preventive care in Appalachia: an exploratory analysis. J App Health 2019;1:27–33.
    OpenUrl
  35. 35.↵
    1. Anselin L
    . GeoDa 1.20.0.22. The Center for Spatial Data Science, The University of Chicago. Available at: https://geodacenter.github.io/download.html.
  36. 36.↵
    Kaiser Family Foundation (KFF). Status of state Medicaid expansion decisions: interactive map. Available at: https://www.kff.org/medicaid/issue-brief/status-of-state-medicaid-expansion-decisions-interactive-map/.
  37. 37.↵
    1. Jacquez FJ,
    2. Vaughn LM,
    3. Zhen-Duan J,
    4. Graham C
    . Health Care Use and Barriers to Care among Latino Immigrants in a New Migration Area. J Health Care Poor Underserved 2016;27:1761–78.
    OpenUrl
  38. 38.↵
    1. Dennis AC,
    2. Chung EO,
    3. Lodge EK,
    4. Martinez RA,
    5. Wilbur RE
    . Looking back to leap forward: a framework for operationalizing the structural racism construct in minority and immigrant health research. Ethn Dis 2021;31:301–10.
    OpenUrlCrossRefPubMed
  39. 39.↵
    1. Singh KA,
    2. Wilk AS
    . Affordable care act medicaid expansion and racial and ethnic disparities in access to primary care. J Health Care Poor Underserved 2019;30:1543–59.
    OpenUrl
  40. 40.↵
    1. Anderson KF,
    2. Wolski C
    . Racial/ethnic residential segregation, neighborhood health care provision, and choice of pediatric health care provider across the USA. J Rac Ethn Health Disp 2023;10:1007/s40615-023-01766-4.
    OpenUrl
  41. 41.↵
    Kaiser Family Foundation (KFF). Medicaid and racial health equity. Available at: https://www.kff.org/medicaid/issue-brief/medicaid-and-racial-health-equity/.
  42. 42.↵
    1. Choi S,
    2. Lee S,
    3. Matejkowski J
    . The effects of state Medicaid expansion on low-income individuals' access to health care: multilevel modeling. Popul Health Manag 2018;21:235–44
    OpenUrl
  43. 43.↵
    Kaiser Family Foundation (KFF). Community health center revenues by payer source. Available at: https://www.kff.org/other/state-indicator/community-health-center-revenues-by-payer-source/.
  44. 44.↵
    1. Choi S,
    2. Davlyatov G,
    3. Opoku-Agyeman W
    . Where are the new federally qualified health center sites? Uncovering FQHC expansion and ambulatory care policy implications. J Ambul Care Manage 2022;45:221–9.
    OpenUrl
  45. 45.↵
    1. Weiss A,
    2. Long SK,
    3. Ramos C,
    4. Coughlins T
    . Federal qualified health centers’ importance in the safety net continues as Affordable Care Act implementation moves ahead. Washington, DC: Urban Institute. Available at: https://www.urban.org/research/publication/federally-qualified-health-centers-importance-safety-net-continues-affordable-care-act-implementation-moves-ahead.
  46. 46.↵
    1. Schneider KL,
    2. Clark MA,
    3. Rakowski W,
    4. Lapane KL
    . Evaluating the impact of non-response bias in the Behavioral Risk Factor Surveillance System (BRFSS). J Epidemiol Community Health 2012;66:290–5.
    OpenUrlAbstract/FREE Full Text
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Relationship Between Primary Care Physician Capacity and Usual Source of Care
Michael Topmiller, Hannah Shadowen, Hoon Byun, Mark Carrozza, Jeongyoung Park, Yalda Jabbarpour, Alison Huffstetler
The Journal of the American Board of Family Medicine May 2024, 37 (3) 436-443; DOI: 10.3122/jabfm.2023.230400R1

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Relationship Between Primary Care Physician Capacity and Usual Source of Care
Michael Topmiller, Hannah Shadowen, Hoon Byun, Mark Carrozza, Jeongyoung Park, Yalda Jabbarpour, Alison Huffstetler
The Journal of the American Board of Family Medicine May 2024, 37 (3) 436-443; DOI: 10.3122/jabfm.2023.230400R1
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