Discover how primary care shortages may reshape the patient-provider relationship.
By February of 2022, Ella, a 25-year-old behavioral interventionist in Colorado Springs, Colorado, was sick with strep-like symptoms for the third time in 3 months. She didn't bother to call her doctor.
But even those with a primary care provider face long wait times: Days to weeks for a sick visit and months for a wellness checkup. Overof Medicare beneficiaries wait more than a month to see a doctor.
Across the United States, there's a dearth of family medicine doctors, pediatricians, and internists. And without significantly more primary care providers, there's simply no way for all Americans to get optimal primary care. The Health Resources and Services administration estimates a currentas the number of Americans needing care balloons and existing PCPs retire with too few trainees to fill their shoes.
"One thing…that I worry about in this kind of situation where patients really have to put in a lot of work to get the care they need is in inequities of care," Rotenstein said."We know some of our patients are more able to undertake that work."showed the proportion of primary care preventative visits increased over 20 years. Policies under the Affordable Care Act were the driving force. But it's also true that sick visits are being diverted to urgent care.
In the meantime, primary care doctors are adapting. Some drop down to part-time to account for the additional administrative workload. Others are transitioning to concierge services to offer the quality of care they want while getting the income they need. Still, others specialize their practice, offering primary care to a subset of the population, like older adults.
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