Literature DB >> 29987087

Continuity and Access in the Era of Part-Time Practice.

Thomas Bodenheimer1, Cynthia Haq2, Wilhelm Lehmann3.   

Abstract

The number of physicians seeing patients part time is growing, an evolution that challenges the primary care pillars of continuity and access. The growth of part-time practice is a response to burnout and to the pressures facing primary care physicians. Physicians who work fewer clinical hours and thereby reduce burnout are more satisfied with their careers, less likely to leave their jobs, and provide a better patient experience. Primary care practices can make a number of adjustments to optimize continuity and access in this era of part-time practice. Moreover, physicians who work fewer clinical hours are equally capable of fostering trusting relationships with patients as physicians seeing patients full time.
© 2018 Annals of Family Medicine, Inc.

Entities:  

Keywords:  access to health care; continuity of care

Mesh:

Year:  2018        PMID: 29987087      PMCID: PMC6037528          DOI: 10.1370/afm.2267

Source DB:  PubMed          Journal:  Ann Fam Med        ISSN: 1544-1709            Impact factor:   5.166


  11 in total

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6.  Longitudinal Study Evaluating the Association Between Physician Burnout and Changes in Professional Work Effort.

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Journal:  Mayo Clin Proc       Date:  2016-04       Impact factor: 7.616

7.  Patients report better satisfaction with part-time primary care physicians, despite less continuity of care and access.

Authors:  Laura Panattoni; Ashley Stone; Sukyung Chung; Ming Tai-Seale
Journal:  J Gen Intern Med       Date:  2014-11-22       Impact factor: 5.128

Review 8.  Defining the future of primary care: what can we learn from patients?.

Authors:  Dana Gelb Safran
Journal:  Ann Intern Med       Date:  2003-02-04       Impact factor: 25.391

9.  Family physicians as team leaders: "time" to share the care.

Authors:  Kimberly S H Yarnall; Truls Østbye; Katrina M Krause; Kathryn I Pollak; Margaret Gradison; J Lloyd Michener
Journal:  Prev Chronic Dis       Date:  2009-03-16       Impact factor: 2.830

10.  Allocation of Physician Time in Ambulatory Practice: A Time and Motion Study in 4 Specialties.

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Journal:  Ann Intern Med       Date:  2016-09-06       Impact factor: 25.391

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  3 in total

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2.  Impact of informational and relational continuity for people with palliative care needs: a mixed methods rapid review.

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Journal:  BMJ Open       Date:  2019-05-29       Impact factor: 2.692

3.  National Trends and Outcomes Associated With Presence and Type of Usual Clinician Among Older Adults With Multimorbidity.

Authors:  Ishani Ganguli; Claire McGlave; Meredith B Rosenthal
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  3 in total

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