Will the Doctor See You Now? The Health System’s Changing Landscape
The “front door” to the health system is changing, under pressure from increased demand, consolidation, and changing patient expectations.
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Known as the “front door” to the health system, primary care is changing. Under pressure from increased demand, consolidation, and changing patient expectations, the model of care no longer means visiting the same doctor for decades. KFF Health News looks at what this means for patients.
The “front door” to the health system is changing, under pressure from increased demand, consolidation, and changing patient expectations.
Burnout is a widespread problem in the health care industry. Although the pandemic made things worse, burnout among doctors is a long-standing concern that health systems have become more focused on as they try to stop doctors from quitting or retiring early.
Politicians keep talking about fixing primary care shortages. But flawed national data leaves big holes in how to evaluate which policies are effective.
KFF Health News senior correspondent Sarah Varney traveled to Idaho to produce a segment in partnership with PBS NewsHour on OB-GYNs leaving the state after it passed a strict abortion ban.
A shortage of primary care providers is driving more people to seek routine care in emergency settings. In Rhode Island, safety-net clinics are under pressure as clinicians retire or burn out, and patients say it’s harder to find care as they lose connections to familiar doctors.
Hospitals are increasingly stretching a velvet rope, offering “concierge service” to an affluent clientele. Critics say the practice exacerbates primary care shortages.
Many proposals have been floated about how to address the nation’s primary care problem. They range from training slots to medical school debt forgiveness but often sidestep comprehensive payment reform.
Company health clinics are most common at large workplaces, but some small employers say they see advantages, too: healthier workers, lower costs, and better access to primary care.
LaFayette and other rural areas of the country tend to have high rates of health problems but not enough doctors. Many are adapting by investing in nontraditional prevention and treatment options.
A Tulsa-based gas station chain is using its knowledge of how to serve customers and locate shops in easy-to-find spots to enter the urgent care industry, which has doubled in size over the past decade. Experts question how the explosion of convenient clinics will affect care costs and wait times.
The Vermont senator sees beefing up the primary care workforce as a critical step in expanding Americans’ access to health care.
With the community’s help, former co-workers came together to fill gaps in care left by the loss of doctors and departments at a Gallup, New Mexico, hospital.
The number of DOs is surging, and more than half of them practice in primary care, including in rural areas hit hard by doctor shortages.
Community paramedicine is expanding nationwide, including in rural areas, as health care providers, insurers, and state governments recognize its potential to improve health and save money.
Researchers found that, while a University of California medical training program has diversified the system’s pool of medical students, there’s not enough long-term data to know whether graduates return to practice where they’re needed most.
Patients in rural northeastern Nevada soon will have fewer providers and resources, after a local hospital decided to close its medical residency program. Nationally, the number of rural residency slots has grown during the past few years but still makes up just 2% of programs and residents nationwide.
Michelle Andrews
Julie Appleby
Lynn Arditi, The Public’s Radio
Phil Galewitz
Tony Leys
Cecilia Nowell
Jazmin Orozco Rodriguez
Bram Sable-Smith
Lauren Sausser
Stephanie Stephens
Sarah Varney
Arielle Zionts
Craig Kohlruss
Gavin McIntyre
Kelly Johnson
Nathan Payne
Sabriya Rice
Stephanie Stapleton
Kytja Weir
Eric Harkleroad
David Hicks
Lynne Shallcross
Oona Tempest
Lydia Zuraw
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