Melissa K. Filippi, PhD, MPH; Elisabeth Callen, PhD, GStat; Ann Wade, BS, BJ; Megan Coffman; John M. Westfall, MD; Yalda Jabbarpour, MD; Christina M. Hester, PhD, MPH; Jennifer Carroll MD, MPH
Corresponding Author: Melissa K. Filippi, PhD, MPH; AAFP National Research Network. Email: mfilippi@aafp.org
Section: Original Research
Publication: May 20, 2021
Introduction: COVID-19 disrupted and undermined primary care delivery. The goal of this study was to examine financial impacts the pandemic has had on primary care clinicians and practices. Methods: AAFP National Research Network and the Robert Graham Center distributed weekly surveys from March 27 through June 15, 2020 to a network of more than 1,960. Responses to the question, “Could you please tell us about any financial impact the COVID-19 pandemic has had on your practice, if any?” were analyzed using a grounded theory approach of qualitative analysis. The number of unique respondents who answered the financial impact question totaled 461 over the twelve-week period. Results: Severe declines in patient visits, causing drastic revenue reductions, greatly impacted the ability to serve patients. Primary care clinicians and practices experienced significant changes in several areas pertaining to financial implications: patient visits, financial strain, staffing, telehealth, personal protective equipment (PPE), and personal strain. Discussion: Preliminary findings revealed that even with Coronavirus Aid, Relief, and Economic Security (CARES) Act funding, business viability remains questionable for some primary care practices. Conclusion: Low patient visits directly resulted in decreased revenues, which in turn, impacted staffing decisions and fueled telehealth implementation. It is difficult to predict whether patient visits will increase after June. Alternate payment models could provide some financial stability and address business viability