Characteristics and Services of Primary Care Practices in 2022 Compared with 2018
| 2022 (N, %) | 2018 (N, %) | |||
|---|---|---|---|---|
| Response Rate | 526/2296 (22.9%) | 481/1622 (29.7%) | Virginia | P-Value* |
| Characteristics | ||||
| Practice Specialty | ||||
| Family Medicine/Internal Medicine | 438/526 (83.3%) | 479/481 (99.6%) | 1930/2,296 (84.0%) | <0.0001 |
| OB/GYN | 10/526 (1.9%) | 0/481 (0%) | 94/2,296 (4.1%) | 0.0020 |
| Pediatrics | 78/526 (14.8%) | 2/481 (0.4%) | 272/2,296 (11.8%) | <0.0001 |
| Practice location by zip code | ||||
| Rural | 254/526 (48.3%) | 254/479 (53.0%) | 1020/2,296 (44.4%) | 0.1710 |
| Suburban | 154/526 (29.3%) | 140/479 (29.2%) | 755/2,296 (32.9%) | <0.9999 |
| Urban | 118/526 (22.4%) | 85/479 (17.8%) | 513/2,296 (22.3%) | 0.0714 |
| Ownership | ||||
| Hospital/health system | 216/506 (42.7%) | 107/427 (25.1%) | 806/2,296 (35%) | <0.0001 |
| Clinician | 196/506 (38.7%) | 228/427 (53.4%) | –± | <0.0001 |
| Clinician partially-owned | 5/506 (1.0%) | 11/427 (2.6%) | – | 0.0509 |
| Private sponsor/investor/corporation | 79/506 (15.6%) | 76/427 (17.8%) | – | 0.4205 |
| Insurance company | 0/506 (0.0%) | 0/427 (0.0%) | – | – |
| University | 5/506 (1.0%) | 5/427 (1.2%) | – | >0.9999 |
| Government | 5/506 (1.0%) | 0/427 (0.0%) | – | 0.0663 |
| Role of respondent completing practice survey | ||||
| Office Manager | 239/526 (45.4%) | – | – | – |
| Administrative Personnel | 77/526 (14.6%) | – | – | – |
| Physician, Physician Assistant, Nurse Practitioner | 118/526 (22.4%) | – | – | – |
| Nurse | 6/526 (1.1%) | – | – | – |
| Other | 80/526 (15.2%) | – | – | – |
| Not answered | 6/526 (1.1%) | – | – | – |
| Mean estimated payer mix for practices±± | ||||
| Medicare | 23.8% | 29.4% | – | <0.0001 |
| Medicaid | 21.8% | 12.1% | – | <0.0001 |
| Commercial/private insurance | 45.4% | 48.4% | – | 0.0879 |
| Uninsured/self-pay | 8.9% | 10.1% | – | 0.2625 |
| Practices accepting new patients with: | ||||
| Medicare | 399/489 (81.6%) | 378/430 (87.9%) | – | 0.0108 |
| Medicaid | 399/507 (78.7%) | 295/430 (68.6%) | – | 0.0006 |
| Commercial/private insurance | 465/507 (91.7%) | 418/437 (95.6%) | – | 0.0203 |
| Uninsured | 437/503 (86.9%) | 382/426 (89.7%) | – | 0.2260 |
| Population Demographics | ||||
| Estimated patients by race±± | ||||
| White | 59.5% | 67.4% | – | <0.0001 |
| Black | 26.6% | 23.5% | – | 0.0256 |
| Asian or Pacific Islander | 6.0% | 8.5% | – | 0.0105 |
| Native American or Alaska Native | 1.0% | 3.0% | – | 0.0018 |
| Other | 6.9% | – | – | – |
| Estimated percentage of Hispanic patients | 21.7% | 11.1% | ||
| Care for vulnerable populations | ||||
| Low income | 437/512 (85.4%) | – | – | – |
| Group home | 258/512 (50.4%) | – | – | |
| Undocumented | 156/512 (30.5%) | – | – | – |
| Refugee/special visa | 128/512 (25.0%) | – | – | – |
| Transgender | 274/512 (53.5%) | – | – | – |
| Homeless | 220/512 (43.0%) | – | – | – |
| Non-English speaking | 339/512 (66.2%) | – | – | – |
| Opioid use disorder | 222/512 (43.4%) | – | – | – |
| No vulnerable people | 47/512 (9.2%) | – | – | – |
↵*P value comparing values for 2022 versus 2018.
±refers to data not available or not included in analysis (e.g., questions not included in the 2018 survey).
±±Two sample t test was used to compare means between two groups.