From The Robert Graham Center, Washington, DC (AJ, SP, YJ).
J Am Board Fam Med. 2021 Mar-Apr;34(2):266-267. doi: 10.3122/jabfm.2021.02.200457.
Although solo and small practices are a vital part of primary care, the proportion of family physicians reporting working in practices with 5 or fewer providers declined from 15% to 11% for solo and 37% to 34% for small (2 to 5 providers) practices from 2014 to 2018. These decreasing trends are concerning, mainly when a low proportion of family physicians have solo practices in rural locations given the access to care challenges in these underserved populations.
尽管个体和小型医疗机构是初级保健的重要组成部分,但报告称在拥有 5 名或以下医生的医疗机构中工作的家庭医生的比例,无论是个体经营还是小型(2 到 5 名医生)医疗机构,都从 2014 年到 2018 年分别从 15%下降到 11%和从 37%下降到 34%。这些下降趋势令人担忧,特别是考虑到在这些服务不足的人群中,获得医疗服务存在挑战,而在农村地区,家庭医生中选择个体行医的比例又很低。