Primary Care Efforts to Ensure Access and Comprehensiveness of Care in 2022 versus 2018
| 2022 (N, %) | 2018 (N, %) | P-Value | |
|---|---|---|---|
| Number of practices with this type of team member | |||
| Psychologist | 68/526 (12.9%) | 13/484 (2.7%) | <0.0001 |
| Licensed Clinical Social Worker or Professional Counselor | 118/526 (22.4%) | 45/484 (9.3%) | <0.0001 |
| Case manager, care coordinator, or patient navigator | 169/526 (32.1%) | 78/484 (16.1%) | <0.0001 |
| Pharmacist | 75/526 (14.3%) | –* | – |
| Population health services | |||
| Measure your quality/performance | 353/499 (70.7%) | 362/484 (74.8%) | 0.1755 |
| Have alerts/reminders in your EHR | 356/499 (71.3%) | – | – |
| Provide care management for chronic conditions | 338/499 (67.7%) | – | – |
| Provide care coordination or patient navigation | 321/499 (64.3%) | 299/484 (61.8%) | 0.4456 |
| Promote generic medication prescribing | 316/499 (63.3%) | – | – |
| Follow-up after ER visit/hospitalization | 286/499 (57.3%) | – | – |
| Follow-up with patients referred to a specialist | 230/499 (46.1%) | – | – |
| Use a registry to identify patients in need of care | 228/499 (45.7%) | 263/484 (54.3%) | 0.0081 |
| Have strategies to reduce unnecessary medical care | 203/499 (40.7%) | – | – |
| Have a patient advice line | 123/499 (24.7%) | – | – |
| Communicate with patients’ health care coordinator | 120/499 (24.1%) | – | – |
| None of the above | 24/499 (4.8%) | – | – |
| Services practices were able to provide during COVID-19 | |||
| Messaging/education about distancing and masks | 414/487 (85.0%) | – | – |
| Viral testing to diagnose acute infections in our office | 318/487 (65.3%) | – | – |
| Antibody testing to diagnose acute/past infections | 206/487 (42.3%) | – | – |
| Hospital management for our acutely ill patients | 141/487 (29.0%) | – | – |
| Antibody treatment-high risk patients with acute infections | 95/487 (19.5%) | – | – |
| Home monitoring for patients with acute infections | 106/487 (21.8%) | – | – |
| Manage Long Covid | 100/487 (20.5%) | – | – |
| Patient education on efficacy and safety of the vaccine | 395/487 (81.1%) | – | – |
| Give COVID-19 vaccinations to our patients | 276/487 (56.7%) | – | – |
| Telehealth | |||
| Visit type – average (range) | |||
| In-person | 90.0% (5.3, 100.0) | – | – |
| Telehealth | 10.0% (0.0, 94.7) | – | – |
| Type of telehealth – average (range) | |||
| Video | 74.6% (0.0, 100.0) | – | – |
| Telephone | 25.4% (0.0, 100.0) | – | – |
Note. *refers to question not included in 2018 survey.
Abbreviation: EHR, electronic health record.