Dual-eligible beneficiaries and inadequate access to primary care.
Am J Manag Care
; 27(5): 212-216, 2021 05.
Article
en En
| MEDLINE
| ID: mdl-34002963
ABSTRACT
OBJECTIVES:
To determine whether enough primary care providers are in close proximity to where dual-eligible beneficiaries live to provide the capacity needed for integrated care models. STUDYDESIGN:
Secondary data analysis using dual-eligible enrollment data and health care workforce data.METHODS:
We determined the density of dual-eligible beneficiaries per 1000 population in 2017 for each of 3142 US counties. County-level supply of primary care physicians (PCPs), primary care nurse practitioners, and physician assistants was determined.RESULTS:
One-third of the 791 counties with the highest density of dual-eligible beneficiaries had PCP shortages. Counties with the highest density of dual-eligible beneficiaries and the fewest primary care clinicians of any type were concentrated in Southeastern states. These areas also had some of the highest coronavirus disease 2019 outbreaks within their states.CONCLUSIONS:
States in the Southeastern region of the United States with some of the most restrictive scope-of-practice laws have an inadequate supply of primary care providers to serve a high concentration of dual-eligible beneficiaries. The fragmented care of the dually eligible population leads to extremely high costs, prompting policy makers to consider integrated delivery models that emphasize primary care. However, primary care workforce shortages will be an enduring challenge without scope-of-practice reforms.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Asistentes Médicos
/
Atención Primaria de Salud
/
Prestación Integrada de Atención de Salud
/
Médicos de Atención Primaria
/
Alcance de la Práctica
/
Accesibilidad a los Servicios de Salud
/
Enfermeras Practicantes
Tipo de estudio:
Prognostic_studies
Aspecto:
Determinantes_sociais_saude
Límite:
Humans
País/Región como asunto:
America do norte
Idioma:
En
Revista:
Am J Manag Care
Asunto de la revista:
SERVICOS DE SAUDE
Año:
2021
Tipo del documento:
Article