Primary care providers are often the first point of contact for patients attempting to navigate a complex health care delivery system and seeking referrals to specialists. RAND has explored the increasing use of emergency departments as a primary care setting, the influence of primary care on health care spending, shared decisionmaking between patients and primary care providers, the emergence of retail health clinics, and more.
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Much of the shortage of primary care physicians expected over the next decade could be eliminated if the nation increases use of new models of medical care that expand the role of nurse practitioners and physician assistants.
Research Briefs (6)
Growth of patient-centered medical homes and nurse-managed health centers could halve projected U.S. physician shortages by 2025—without training a single additional physician.
Providers can dramatically improve American health care by focusing on “value” instead of “volume,” eliminating wasteful and inappropriate care, applying the best available evidence to their practices, and enhancing patient safety.
Less than half of acute care visits in the United States involve a patient's personal physician. Emergency physicians, who comprise only 4 percent of doctors, handle 28 percent of all acute care encounters and nearly all after-hours and weekend care.
Demonstrating a link between use of electronic health records in community-based primary care practices and higher-quality care, this study encourages prioritization of such technologies and their advanced functionalities.
This Research Brief summarizes research analyzing and comparing key components of children's primary care: having insurance, having a regular medical care provider, and actually receiving care when it is needed.
This research brief summarizes an analysis of data from a nationwide survey to determine why children eligible to be in the State Children's Health Insurance Program (SCHIP) are not enrolled.