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Graham Center Policy One-Pagers

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Robert Graham Center

Apr 8, 2015 - Learn more about the Robert Graham Center's promotion and advancement of primary health care through public policy.

About AAFP : Affiliated Organizations

https://www.aafp.org/about/affiliated-organizations/robert-graham-center.html

Analyze This: Graham Center's Work Shows Value of Primary Care

Dec 2, 2014 - Analyze This: Graham Center's Work Shows Value of Primary Care

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/analyze_this_graham_center_s.html

Robert Phillips, Director of Graham Center, Elected to Institute of Medicine

Oct 14, 2010 - Robert Phillips, Jr., M.D., M.S.P.H., director of the Robert Graham Center for Policy Studies in Family Medicine and Primary Care, was elected a member of the Institute of Medicine, during the IOM’s 40th annual meeting.

Press Center : News Releases and Statements

https://www.aafp.org/media-center/releases-statements/all/2010/phillips-to-iom.html

Graham Center Policy One-Pagers Department Collection - American Family Physician

These reports offer succinct summaries of research and perspectives pertinent to family practice advocacy and are produced by the Robert Graham Center: Policy Studies in Family Medicine and Primary Care in Washington, DC.

American Family Physician : Department Collection

https://www.aafp.org/afp/viewRelatedDepartmentsByDepartment.htm?departmentId=3&page=0

Graham Center Policy One-Pagers Department Collection - American Family Physician

These reports offer succinct summaries of research and perspectives pertinent to family practice advocacy and are produced by the Robert Graham Center: Policy Studies in Family Medicine and Primary Care in Washington, DC.

American Family Physician : Department Collection

https://www.aafp.org/afp/viewRelatedDepartmentsByDepartment.htm?departmentId=3

Graham Center Policy One-Pagers: Graduates of Teaching Health Centers Are More Likely ...

Nov 15, 2015 - The Teaching Health Center Graduate Medical Education (THCGME) program funds new primary care residencies at community health centers caring for the nation's underserved population. In a national census of third-year family medicine residents, those who trained in teaching health ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2015/1115/p868.html

Graham Center Policy One-Pagers: Fewer Americans Report a Personal Physician as Their ...

Dec 15, 2015 - One in five Americans reports no usual source of health care, and the number of Americans reporting that they have a personal relationship with a usual source of care has declined steadily over the past 15 years. Given the positive association between having a usual source of care and ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2015/1215/p1053.html

Graham Center Policy One-Pagers: Osteopathic Schools Are Producing More Graduates, But ...

Jun 1, 2015 - The expansion of osteopathic medical schools was to be a boon for underserved areas in need of primary care service. However, the impact has thus far been diminished by the decrease in osteopathic graduates engaged in primary care practice. Policy makers and leaders should consider ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2015/0601/p756.html

Graham Center Policy One-Pagers: Smaller Practices Are Less Likely to Report PCMH ...

Apr 1, 2015 - Despite efforts to achieve broad transformation of primary care practices into patient-centered medical homes (PCMHs), certification rates have lagged in small and solo practices. The challenges these groups face with the transformation and certification processes should be addressed to...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2015/0401/p440.html

Graham Center Policy One-Pagers: Teaching Health Center GME Funding Instability ...

Feb 1, 2015 - The Teaching Health Center Graduate Medical Education (THCGME) program, funded since 2011 and set to expire in 2015, has increased the numbers of primary care physicians and dentists training to care for under-served populations nationwide. Without continued federal funding, most of ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2015/0201/p168.html

Graham Center Policy One-Pagers: Accounting for Complexity: Aligning Current Payment ...

Dec 1, 2014 - Family physicians provide care for a wider range of conditions than do most specialists, introducing a high level of complexity into their practice. Historic assumptions associating complexity with the intensity, skill, and training required to accommodate a single task fail to capture ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2014/1201/p790.html

Graham Center Policy One-Pagers: The Continued Importance of Small Practices in the ...

Aug 15, 2014 - In 2010, as many as 45% of active primary care physicians (PCPs) were practicing at sites with five or fewer physicians. This large cohort of practices faces unique challenges in meeting the increasing demands of practice transformation, payer reporting requirements, and integrated ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2014/0815/od3.html

Graham Center Policy One-Pagers: Ecology of Health Care: The Need to Address Low ...

Feb 1, 2014 - Disparities in health and access to health care continue to persist among the American Indian/Alaska Native population, despite federal efforts to call attention to and address these disparities.1 Policy makers should direct resources to ensure that this population has sufficient access...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2014/0201/p217.html

Graham Center Policy One-Pagers: Family Physicians Practicing High-Volume Obstetric ...

Jun 15, 2017 - Previous research has shown a decline in the percentage of family physicians practicing low- or medium-volume obstetrics. Using 13 years of data through 2016, we found continued declines in low- and medium-volume obstetrics, in addition to a new 50% decrease in family physicians ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2017/0615/p762.html

Graham Center Policy One-Pagers: Historic Growth Rates Vary Widely Across the Primary ...

Oct 1, 2013 - Nested within a 40-year trend of specialty-to-population growth outpacing that of primary care is variability in the rate of expansion within the different primary care disciplines. With continued population aging trends, low annual birth rate, and expected health insurance expansion, ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2013/1001/od3.html

Graham Center Policy One-Pagers: Relying on NPs and PAs Does Not Avoid the Need for ...

Aug 15, 2013 - Physician assistants (PAs) and nurse practitioners (NPs) are often proposed as solutions to the looming shortage of primary care physicians. However, a large and growing number of PAs and NPs now work outside of primary care, which suggests that innovative policy solutions to increase ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2013/0815/p230.html

Graham Center Policy One-Pagers: Unequal Distribution of the U.S. Primary Care ...

Jun 1, 2013 - The United States is facing a primary care physician shortage, but the most pressing problem is uneven distribution, particularly in poor and rural communities. Providing adequate access to care for the nearly 30 million uninsured people living in these communities will require potent ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2013/0601/od1.html

Graham Center Policy One-Pagers: Trends in Physician Supply and Population Growth - ...

Apr 1, 2013 - The physician workforce has steadily grown faster than the U.S. population over the past 30 years, context that is often absent in conversations anticipating physician scarcity. Policy makers addressing future physician shortages should also direct resources to ensure specialty and ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2013/0401/od3.html

Graham Center Policy One-Pagers: High-Deductible Plans May Reduce Ambulatory Care Use -...

Nov 1, 2016 - Although rates of uninsured Americans are declining because of the Affordable Care Act (ACA), there is growing concern about out-of-pocket expenditures associated with private high-deductible insurance plans.

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2016/1101/p727.html

Graham Center Policy One-Pagers: Family Medicine: An Underutilized Resource in ...

Sep 1, 2016 - Opioid overdose rates have tripled since 2000, and although overprescribing of opioids by physicians is widely accepted as a causal factor, the physician's role in providing medication-assisted treatment for opioid use disorder is less appreciated. Despite a clear willingness to ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2016/0901/p350.html

Graham Center Policy One-Pagers: Rural Opioid Use Disorder Treatment Depends on Family ...

Oct 1, 2016 - The nation's growing opioid use disorder epidemic disproportionately impacts rural areas, where physicians who can prescribe buprenorphine are scarcest. Among physicians approved to prescribe buprenorphine, family physicians (FPs) are the most likely to work in rural areas.

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2016/1001/p546.html

Graham Center Policy One-Pagers: Health Care Transition Counseling for Youth with ...

Dec 1, 2012 - Youth with special health care needs who receive care within a patient-centered medical home (PCMH) are significantly more likely to receive services for transitioning to adult care. Broader implementation of the PCMH may contribute to wider use of health care transition counseling and ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2012/1201/p1024.html

Graham Center Projects Increase in Physicians Working in Shortage Areas

Apr 23, 2014 - The AAFP's Robert Graham Center for Policy Studies in Family Medicine and Primary Care recently published a one-page policy brief that looked at the projected impact of the Primary Care Residency Expansion program on the number and distribution of new primary care physicians. One key ...

AAFP News : Physician Education and Development

https://www.aafp.org/news/education-professional-development/20140423pcreprojections.html

Large Numbers of NPs, PAs Practice in Subspecialty Fields, Graham Center Study Finds

Aug 20, 2013 - Increasing numbers of nurse practitioners (NPs) and physician assistants (PAs) are working outside of primary care in subspecialty fields, raising serious questions as to whether NPs and PAs are a solution to the nation's growing shortage of primary care physicians. That's according to ...

AAFP News : Practice and Professional Issues

https://www.aafp.org/news/practice-professional-issues/20130820np-pa-grahamcenter.html

Gaps in Health Care Safety Net Identifiable Thanks to Graham Center Mapper Program

Aug 27, 2013 - The AAFP's Robert Graham Center for Policy Studies in Family Medicine and Primary Care has launched a revamped and expanded version of its online Uniform Data System (UDS) Mapper application, which gives users the ability to identify gaps in the health care safety net and pinpoint ...

AAFP News : Inside the Academy

https://www.aafp.org/news/inside-aafp/20130827udsmapper.html

Graham Center Policy One-Pagers: Only 15% of FPs Report Using Telehealth; Training and ...

Jan 15, 2016 - In a 2014 national survey, only 15% of responding family physicians (FPs) reported using telehealth in the previous year, even though most agreed that telehealth could improve access to and continuity of care for their patients. More than one-half of FPs identified lack of training and ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2016/0115/p101.html

Graham Center Policy One-Pagers: Family Physicians Contribute Significantly to ...

Sep 15, 2015 - Rural populations rely on physicians trained in primary care to provide emergency services. Less is known about primary care’s contribution to emergency services in urban and suburban settings. Two-thirds of family medicine and three-fourths of general internal medicine Medicare claims ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2015/0915/p445.html

Physician Care Delivery, Payment Systems Subject of Graham Center Forum

Apr 16, 2014 - Few physicians and probably fewer patients are happy with the fee-for-service payment model for medical care, but a lot of work needs to be done to initiate any kind of change. That's according panelists who spoke during a recent forum on primary care hosted by the Robert Graham Center ...

AAFP News : Government and Medicine

https://www.aafp.org/news/government-medicine/20140416rgcpymntmodels.html

Graham Center Policy One-Pagers: Will Patients Find Diversity in the Medical Home? - ...

Jul 15, 2008 - Mexican Americans and blacks experience disparities in health outcomes relative to white populations. During the past five to 10 years, fewer blacks and Mexican Americans are going to medical school and entering primary care professions. To assure the availability of a patient-centered ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2008/0715/p183.html

Graham Center Policy One-Pagers: Comprehensive Medical School Rural Programs Produce ...

Dec 15, 2011 - Health insurance expansion expected from the Affordable Care Act is likely to exacerbate the long-standing and critical shortage of rural and primary care physicians over the next decade. Comprehensive medical school rural programs, from which most graduates ultimately enter primary ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2011/1215/p1350.html

Graham Center Policy One-Pagers: Primary Care Physicians Are More Likely to Participate...

Aug 1, 2015 - Family medicine and general internal medicine physicians are more likely to participate in the Medicare electronic health record (EHR) incentive program compared with other subspecialties, after accounting for Medicare income and other factors. These findings support the continuation of...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2015/0801/p182.html

Graham Center Policy One-Pagers: Shifting Sources of U.S. Primary Care Physicians - ...

Jun 1, 2015 - Trends in the composition of the primary care physician workforce since 2000 show a declining proportion of U.S. allopathic physicians, and increasing proportions of U.S. osteopath physicians and both U.S.-born and foreign-born international graduates.

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2015/0601/p758.html

Graham Center Policy One-Pagers: Opting Out of Medicaid Expansion May Cost States ...

Jan 1, 2015 - States currently electing not to expand Medicaid possibly forego the opportunity to expand their primary care workforces by a total of 1,525 physicians. Increased demand from expansion states and a limited primary care physician pool may provide a pull across state lines to the ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2015/0101/od2.html

Graham Center Policy One-Pagers: Family Medicine Residents: Increasingly Diverse, but ...

Jul 15, 2014 - Increasing racial and ethnic diversity in the U.S. population has not been fully realized in the physician workforce. Family physicians, the most widely distributed of the physician specialties, are on the front line of a physician trend toward greater racial and ethnic diversity over ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2014/0715/p80.html

Graham Center Policy One-Pagers: Winnable Battles: Family Physicians Play an Essential ...

Jun 1, 2014 - Tobacco use and obesity are linked to most deaths and significant disability in the United States, and family physicians are uniquely positioned to address these issues. This highlights a need for transforming primary care practices and teams to systematize the recognition and ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2014/0601/p872.html

Graham Center Policy One-Pagers: The Changing Landscape of Primary Care HPSAs and the ...

May 1, 2014 - Health professional shortage area (HPSA) designations were created to highlight areas of primary care shortage and direct incentives to physicians willing to practice in these areas. We demonstrate the volatility of these geographies by examining the HPSA status of primary care ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2014/0501/od1.html

Graham Center Policy One-Pagers: Projected Impact of the Primary Care Residency ...

Apr 1, 2014 - The Primary Care Residency Expansion (PCRE) program was created by the Health Resources and Services Administration in 2010 to help address the shortage of primary care physicians. If historical graduate placement trends for funded programs remain stable, the PCRE program would have a ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2014/0401/p518.html

Graham Center Policy One-Pagers: Greater Family Medicine Presence at NIH Could Improve ...

May 15, 2010 - Advisory committees perform pivotal tasks at the National Institutes of Health (NIH), informing funding decisions, helping establish research priorities, and contributing to the vision for the nation's biomedical research agenda. Family medicine has not had a substantial role on these ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2010/0515/p1213.html

Graham Center Policy One-Pagers: Migration After Family Medicine Residency: 56% of ...

Nov 15, 2013 - With state planners working to address primary care shortages and federal graduate medical education payment reform looming, regional retention statistics for family medicine residency programs are a subject of high interest. Using the 2009 American Medical Association Physician ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2013/1115/p704.html

Graham Center Policy One-Pagers: Title VII Is Criticial to the Community Health Center ...

Jan 15, 2010 - Community health centers (CHCs) and the National Health Service Corps (NHSC) are essential to a functioning health care safety net, but they struggle to recruit physicians. Compared with physicians trained in residency programs without Title VII funding, those trained in Title ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2010/0115/p132.html

Graham Center Policy One-Pagers: Is NIH Research Funding to Medical Schools Associated ...

Feb 1, 2013 - National Institutes of Health (NIH) funding to family medicine departments is very low and has an inverse association with the production of family physicians at these medical schools. Clinical and Translational Science Awards and other efforts to include primary care in NIH research ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2013/0201/p214.html

Graham Center Policy One-Pagers: Primary Care's Ecologic Impact on Obesity - American ...

Mar 15, 2009 - With a costly obesity epidemic, policy makers must recognize factors that may influence obesity not only for each person, but also across communities. Increased primary care physician density on the county level is associated with decreased obesity rates. As we move to restructure the ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2009/0315/p446.html

Graham Center Policy One-Pagers: Physician Workforce: The Special Case of Health ...

Jul 15, 2005 - Federally funded health centers and the National Health Service Corps (NHSC) depend on family physicians (FPs) and general practitioners (GPs) to meet the needs of millions of medically underserved people. Policy makers and workforce planners should consider how changes in the ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2005/0715/p235.html

Graham Center Policy One-Pagers: Improving America's Health Requires Community-Level ...

Aug 15, 2012 - Amidst sweeping changes to health care in the 1960s, the broadly influential Folsom Commission report, Health is a Community Affair, never fully achieved its vision of galvanizing the creation of Communities of Solution, which were empowered to improve health at the local level. Passage...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2012/0815/od2.html

The Robert Graham Center Update 2008

A compendium of slides for public use that includes original and adapted analyses and commentary from the staff of the Robert Graham Center.

https://www.aafp.org/dam/rgc/documents/publications-reports/presentations/RGC-Update-08PDF.pdf

The Robert Graham Center Update: A Primary Care Perspective on Health Care Workforce ...

A compendium of slides for public use that includes original and adapted analyses, commentary, and annotation from the staff of the Robert Graham Center.

https://www.aafp.org/dam/rgc/documents/publications-reports/presentations/RGC-Update-PDF.pdf

Graham Center Policy One-Pagers: A Perfect Storm: Changes Impacting Medicare Threaten ...

Jun 15, 2008 - A convergence of three policies could reduce physician Medicare payments by 14.9 to 22.3 percent in 2008, which could jeopardize access for Medicare beneficiaries in underserved areas. Congress and the Executive Branch should coordinate their roles in setting Medicare payment policy, ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2008/0615/p1738.html

Graham Center Policy One-Pagers: Physician Distribution and Access: Priorities for ...

May 15, 2008 - Most Primary Health Professional Shortage Areas (HPSAs) exceed federal population-to-physician designation criteria, yet struggle to maintain access to primary care physicians. Policy options for recruiting and retaining primary care physicians to HPSAs, and new HPSA criteria that ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2008/0515/p1378.html

Graham Center Policy One-Pagers: Refocusing Geriatricians' Role in Training to Improve ...

Jan 1, 2012 - The current number of geriatricians cannot keep up with the health care needs of the growing number of older adults. To fill the gap, more geriatricians should focus on training primary care and other specialty physicians to care for older adults.

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2012/0101/p59.html

Robert Graham Center Unveils Medical School Mapper

Nov 10, 2010 - The AAFP's Robert Graham Center has unveiled a medical school mapping program that allows users to gauge the role of medical schools in promoting and sustaining primary care access within states, regions and localities.

AAFP News : Inside the Academy

https://www.aafp.org/news/inside-aafp/20101110medschoolmapper.html

Evidence and Tools for Advocacy from the Robert Graham Center

Evidence and Tools for Advocacy from The Robert Graham Center

https://www.aafp.org/dam/rgc/documents/publications-reports/presentations/evidence-and-tools.pdf

Evidence and Tools for Advoacy from the Robert Graham Center

Evidence and Tools for Advoacy from the Robert Graham Center

https://www.aafp.org/dam/rgc/documents/publications-reports/presentations/evidence-tools-RGC.pdf

Graham Center Policy One-Pagers: EHR Implementation Without Meaningful Use Can Lead to ...

Dec 1, 2011 - Defying expectations, typical electronic health record (EHR) use in practices belonging to a primary care network has been associated with poorer diabetes care quality and outcomes. Current expansion of primary care EHR implementation must focus on use that improves care.

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2011/1201/p1220.html

Graham Center Policy One-Pagers: Better Integration of Mental Health Care Improves ...

Nov 1, 2011 - Improving screening and treatment for depression in primary care will require better mental health care integration. Depression is common in primary care, yet screening for the condition remains low. Enhanced, coordinated financial support for the integration of mental health care into ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2011/1101/p980.html

Graham Center Policy One-Pagers: FPs Lower Hospital Readmission Rates and Costs - ...

May 1, 2011 - Hospital readmission after discharge is often a costly failing of the U.S. health care system to adequately manage patients who are ill. Increasing the numbers of family physicians (FPs) is associated with significant reductions in hospital readmissions and substantial cost savings.

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2011/0501/p1054.html

Graham Center Policy One-Pagers: Income Disparities Shape Medical Student Specialty ...

Sep 15, 2010 - Currently, a gap of more than $135,000 separates the median annual subspecialist income from that of a primary care physician, yielding a $3.5 million difference in expected income over a lifetime. These income disparities dissuade medical students from selecting primary care and should...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2010/0915/p601.html

Graham Center Study Documents Effect of Socioeconomic Factors on Health and Avertable ...

Mar 17, 2010 - The combination of higher income and education levels has a direct bearing on preventable deaths. Thus, consideration of these and other socioeconomic factors are necessary when setting strategy to improve the overall health and wellbeing of the population, according to a new study in ...

AAFP News : Health of the Public

https://www.aafp.org/news/health-of-the-public/20100317avertabledeathrates.html

Graham Center Policy One-Pagers: Loss of Primary Care Residency Positions Amidst Growth...

Jul 15, 2010 - Since the 1997 Balanced Budget Act capped funding for graduate medical education (GME) programs, overall growth in GME has continued (+7.8 percent), but primary care specialties have experienced a substantial decline in their number of programs and residency positions. This decline will...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2010/0715/p121.html

Graham Center Policy One-Pagers: Greater NIH investment in Family Medicine Would Help ...

Mar 15, 2010 - Family medicine is the predominant provider of primary health care in the United States, yet it receives relatively little research funding from the National Institutes of Health (NIH). Family medicine can help the NIH speed research discovery and improve research relevance; the NIH can...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2010/0315/p704.html

Graham Center Policy One-Pagers: Family Physicians' Present and Future Role in Caring ...

Nov 15, 2009 - The population of patients older than 65 years is projected to increase substantially in the coming years, particularly in rural areas. Family physicians are essential providers of geriatric care, especially in rural areas, but need payment reform to improve their capacity to meet the ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2009/1115/p1072.html

Graham Center Policy One-Pagers: Title VII's Decline: Shrinking Investment in the ...

Oct 15, 2009 - Title VII, Section 747 is a source of federal funding intended to strengthen the primary care workforce. Despite evidence that Title VII has been successful, its funding has declined over the past three decades, threatening the production of primary care physicians.

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2009/1015/p872.html

Graham Center Policy One-Pagers: Out-of-Pocket Prescription Costs a Continuing Burden ...

Feb 1, 2006 - Of 29 million expected Part D beneficiaries, 6.9 million are projected to have annual out-of-pocket medication expenses greater than $750. Accounting for one fourth of all Part D enrollees, these beneficiaries also are most likely to have high aggregate health care costs, putting them ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2006/0201/p402.html

Graham Center Policy One-Pagers: Decreasing Self-Perceived Health Status Despite Rising...

Sep 1, 2009 - Despite steady increases in U.S. health care spending, the population's self-perceived health status has been in a long-term decline. Increased support for public health, prevention, and primary care could reduce growth in spending and improve actual and perceived health.

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2009/0901/p427.html

Graham Center Policy One-Pagers: Having a Usual Source of Care Reduces ED Visits - ...

Jan 15, 2009 - The recent growth in the use of emergency departments (EDs) is costly, undesirable, and unnecessary. This trend is partly due to a growing proportion of persons who lack a usual source of care. This group is increasingly likely to rely on EDs for their health care needs compared with ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2009/0115/p94.html

Graham Center Policy One-Pagers: Changing Patient Health-Risk Behavior Requires New ...

Oct 15, 2008 - Evidence supports the effectiveness of primary care interventions to improve nutrition, increase physical activity levels, reduce alcohol intake, and stop tobacco use. However, implementing these interventions requires considerable practice expense. If we hope to change behavior to ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2008/1015/p924.html

Graham Center Policy One-Pagers: Why There Must Be Room For Mental Health in the ...

Mar 15, 2008 - Most people with poor mental health are cared for in primary care settings, despite many barriers. Efforts to provide everyone a medical home will require the inclusion of mental health care if it is to succeed in improving care and reducing costs. Major primary care organizations have ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2008/0315/p757.html

Graham Center Policy One-Pagers: What People Want from Their Family Physician - ...

May 15, 2004 - The public wants and is satisfied by care provided within a patient-physician relationship based on understanding, honesty, and trust. If the U.S. health care system is ever to become patient-centered, it must be designed to support these values and sustain, rather than fracture, the ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2004/0515/p2310.html

Graham Center Policy One-Pagers: Behavioral Change Counseling in the Medical Home - ...

Nov 15, 2007 - Health-related behavioral counseling can and should be a central offering in the medical home. Primary care practices currently address unhealthy behaviors with their patients, but most practices lack the integrated approaches needed to effectively change these behaviors. Revisions in ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2007/1115/p1472.html

Graham Center Policy One-Pagers: Rural Origins and Choosing Family Medicine Predict ...

Jul 15, 2007 - The shortage of physicians in U.S. rural practice may impact access to health care for one in five citizens. Two medical student characteristics that predict eventual practice in rural settings are clear: being born in a rural county and choosing a residency in family medicine.

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2007/0715/p207.html

Graham Center Policy One-Pagers: Medical School Expansion: An Immediate Opportunity to ...

Jul 15, 2007 - The first expansion of allopathic medical education in 35 years is under way; this could eliminate rural physician shortage areas if students more likely to practice in rural areas are preferentially admitted and supported.

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2007/0715/p208.html

Graham Center Policy One-Pagers: Will Medical School Expansion Help Diversify the ...

Jul 1, 2007 - The racial/ethnic composition of U.S. medical schools does not reflect the U.S. population. With proper planning, the current medical school expansion could improve physician diversity and reduce health disparities.

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2007/0701/p38.html

Graham Center Policy One-Pagers: Use of Patient Registries in U.S. Primary Care ...

Jun 1, 2007 - Patient registries are necessary for high-quality health care, but even in innovative practices, their presence and utilization is inadequate. Registry uptake in primary care may be enhanced by improving the functionality of electronic health records (EHRs) and implementing payment ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2007/0601/p1629.html

Graham Center Policy One-Pagers: The U.S. Primary Care Physician Workforce: ...

Oct 15, 2003 - A persistent, six-year trend in the choice of specialty training by U.S. medical students threatens the adequacy of the physician workforce of the United States. This pattern should be reversed and requires the attention of policy makers and medical educators.

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2003/1015/p1484.html

Graham Center Policy One-Pagers: Imperative Integration: Medical Care for Older ...

Oct 1, 2006 - The ecology of medical care changes for older people, with increases in usage of residential and institutional care, emergency departments, and home care. Care integrated across multiple settings, as is proposed for new models of primary care, is essential for the care of older patients.

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2006/1001/p1105.html

Graham Center Policy One-Pagers: The Diminishing Role of FPs in Caring for Children - ...

May 1, 2006 - Nationwide, family physicians (FPs) deliver a smaller proportion of the outpatient care of children than they did 10 years ago. Millions of children depend on FPs for care. Family medicine should reevaluate how it will contribute to the care of the nation's children.

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2006/0501/p1518.html

Graham Center Policy One-Pagers: Family Physicians Help Meet the Emergency Care Needs ...

Apr 1, 2006 - Ensuring access to emergency care in rural areas remains a challenge. High costs and low patient volumes make 100 percent staffing of rural emergency departments (EDs) by emergency medicine residency-trained physicians (EPs) unlikely. As rurality increases, so does the dependence on ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2006/0401/p1163.html

Graham Center Policy One-Pagers: Title VII Funding is Associated with More Family ...

Aug 15, 2002 - Title VII funding of departments of family medicine at U.S. medical schools is significantly associated with expansion of the primary care physician workforce and increased accessibility to physicians for the residents of rural and underserved areas. Title VII has been successful in ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2002/0815/p554.html

Graham Center Policy One-Pagers: Mind the Gap: Medicare Part D's Coverage Gaps May ...

Feb 1, 2006 - Medicare Part D will lower medication expenditures for many older patients. However, its complex design incorporates a staggered series of cost-sharing mechanisms that create gaps in coverage and may have a negative impact on medication adherence.

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2006/0201/p404.html

Graham Center Policy One-Pagers: Medicare Part D: Who Wins, Who Loses? - American ...

Feb 1, 2006 - The Medicare Part D prescription drug benefit aims to relieve the burden of out-of-pocket prescription drug costs for persons older than 65 years, but its effects will vary. Persons with low income and those without prior prescription coverage are projected to save the most, whereas ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2006/0201/p401.html

Graham Center Policy One-Pagers: Who Will Have Health Insurance in 2025? - American ...

Nov 15, 2005 - If current trends continue, U.S. health insurance costs will consume the average household’s annual income by 2025. As health care becomes unaffordable for most people in the United States, it will be necessary to implement innovative models to move the system in a more equitable and ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2005/1115/p1989.html

Graham Center Policy One-Pagers: Excess, Shortage, or Sufficient Physician Workforce: ...

Nov 1, 2005 - At least three models have been used to project the future physician workforce, and each produces different results. No physician workforce predictions can be relied on until there is more consideration of and agreement on desired health outcomes and what physicians must do to achieve ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2005/1101/p1670.html

Resolution No. 405 (New York State C) - Health Impact of Gentrification -- 2015 ...

May 23, 2016 - This resolution asks that the American Academy of Family Physicians request the Robert Graham Center for Policy Studies in Family Medicine and Primary Care investigate how the process of gentrification impacts health outcomes and create potential policy recommendations that could ...

About AAFP : Governance

https://www.aafp.org/about/governance/congress-delegates/previous/2015/resolutions/newyork-c.mem.html

Graham Center Policy One-Pagers: Physician Workforce: Legal Immigrants Will Extend Baby...

Oct 15, 2005 - The baby boom generation will place large demands on the Medicare program and the U.S. health care system. These demands may be extended by a large legal immigrant population that will become Medicare-eligible soon after the baby boom generation does. The U.S. health care system should ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2005/1015/p1459.html

Graham Center Policy One-Pagers: Physician Assistant and Nurse Practitioner Workforce ...

Oct 1, 2005 - The physician assistant (PA) and nurse practitioner (NP) workforces have realized explosive growth, but this rate of growth may be declining. Most PAs work outside primary care; however, the contributions of PAs and NPs to primary care and interdisciplinary teams should not be neglected.

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2005/1001/p1176.html

Graham Center Policy One-Pagers: Number of Persons Who Consulted a Physician, 1997 and ...

Sep 15, 2005 - Most people in the United States consult a general physician each year, and some see other subspecialists. However, the proportion of people consulting a general physician who sees adults and children appears to be declining.

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2005/0915/p1007.html

Graham Center Policy One-Pagers: Patterns of Visits to Physicians' Offices, 1980 to ...

Sep 1, 2005 - In the past quarter century, the number of office visits to physicians in the United States increased from 581 million per year to 838 million per year, with slightly more than one half of total visits since 1980 being made to primary care physicians. Most visits to primary care ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2005/0901/p762.html

Graham Center Policy One-Pagers: Osteopathic Physicians and the Family Medicine ...

Aug 15, 2005 - Historically, osteopathic physicians have made an important contribution to the primary care workforce. More than one half of osteopathic physicians are primary care physicians, and most of these are family physicians. However, the proportion of osteopathic students choosing family ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2005/0815/p583.html

Graham Center Policy One-Pagers: Who Filled First-Year Family Medicine Residency ...

Aug 1, 2005 - Graduates of U.S. allopathic schools have filled less than one half of the family medicine positions offered in the National Resident Matching Program (NRMP) Match since 2001. Overall fill rates in July have been relatively stable at approximately 94 percent. Family medicine has become ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2005/0801/p392.html

Graham Center Policy One-Pagers: The Family Physician Workforce: The Special Case of ...

Jul 1, 2005 - People living outside metropolitan areas, especially those living in rural counties, depend on family physicians. Resolving the disparities in physician distribution nationwide will require solutions to make rural practice a viable option for more health care workers.

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2005/0701/p147.html

Graham Center Policy One-Pagers: Family Physicians and the Primary Care Physicians ...

Jun 15, 2005 - In 2004, there were 91,600 family physicians (FPs) and general practitioners (GPs) and 222,000 primary care physicians actively caring for patients, one for every 1,321 persons. These primary care physicians represent the largest and best-trained primary care physician workforce that ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2005/0615/p2260.html

Graham Center Policy One-Pagers: The Contemporary Ecology of U.S. Medical Care Confirms...

Sep 15, 2001 - More women, men and children receive medical care each month in the offices of primary care physicians than any other professional setting. There is an urgent need for health policies that encourage further innovation and implementation of first-rate primary care for everyone.

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2001/0915/p928.html

Nurse Practitioners and Physician Assistants Share Subspecialization Trends Seen in ...

Aug 15, 2013 - LEAWOOD, Kan. - Health care policies that rely on non-physician health professionals to expand access to primary care probably won’t solve the problem because nurse practitioners and physician assistants - like many of their physician counterparts - increasingly choose subspecialty ...

Press Center : News Releases and Statements

https://www.aafp.org/media-center/releases-statements/all/2013/nurse-practitioners-physicians-assistants.html

Graham Center Policy One-Pagers: The Importance of Having Health Insurance and a Usual ...

Sep 15, 2004 - The effects of insurance and having a usual source of care are additive. Efforts to improve health care access for all should provide a medical home and health insurance.

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2004/0915/p1035.html

Graham Center Policy One-Pagers: Chiropractors Are Not a Usual Source of Primary Health...

Jun 1, 2004 - Chiropractors are the largest source of office-based care in the United States that does not involve a physician, but people do not view chiropractors as primary providers of health care or advice. Unlike the care given by primary care providers, the majority of care provided by ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2004/0601/p2544.html

Teaching Health Centers Key to Solving FP Shortage

Apr 26, 2016 - Teaching health centers are a hidden gem in graduate medical education. AAFP Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin makes the case that the training model deserves greater investment to develop more primary care physicians for underserved areas.

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/teaching_health_centers_key_to.html

Graham Center Policy One-Pagers: Few People in the United States Can Identify Primary ...

May 15, 2004 - Almost one decade after the Institute of Medicine (IOM) defined primary care, only one third of the American public is able to identify any of the medical specialties that provide it, and only 17 percent were able to accurately distinguish primary care physicians from medical or ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2004/0515/p2312.html

Geriatric Care - American Family Physician

Nov 15, 2017 - This collection features AFP content on geriatric care and related issues, including assistive devices, elder mistreatment, failure to thrive, fall prevention, geriatric assessment, house calls, impaired visual acuity, and nursing home care.

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=55

Graham Center Policy One-Pagers: The Ecology of Medical Care for Children in the United...

Dec 15, 2003 - If equal and adequate access to health care for children in the United States is a goal, we are failing. That failing is most prominent in the setting where most children receive care and preventive services—the doctor's office.

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2003/1215/p2310.html

Graham Center Policy One-Pagers: The U.S. Primary Care Physician Workforce: Minimal ...

Oct 15, 2003 - Growth in the primary care physician workforce (physicians per capita) in the United States has trailed the growth of the specialist physician population in recent years. This has occurred despite calls during the same period for increased production of primary care physicians and ...

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2003/1015/p1483.html

Graham Center Policy One-Pagers: The U.S. Primary Care Physician Workforce: Undervalued...

Oct 15, 2003 - Primary care physicians work hard, but their compensation is not correlated to their work effort when compared with physicians in other specialties. This disparity contributes to student disinterest in primary care specialties.

American Family Physician : Graham Center Policy One-Pagers

https://www.aafp.org/afp/2003/1015/p1486.html

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