Article Figures & Data
Figures
- Figure 1.
Trends in primary care visits in the United States, 2002-2017.
Note: Figure 1 represents the proportion of patients with a primary care visit over 2-year periods by age group (<4 years, 4-12 years, etc). The points with 95% CIs are derived from the logistic regression models controlling for age, age, and sex with panel as a categorical variable. The trend lines are derived from the same model with panel as a continuous variable.
- Figure 2.
Predicted number of primary care visits in the United States, 2002-2017.
Note: Figure 2 represents the predicted number of visits with a primary care physician using a negative binomial regression model by age group (<4 years, 4-12 years, etc) within each panel with post-prediction marginal effects. The points with 95% CIs are derived from models with panel as a categorical variable. The trend lines are derived from models with panel as a continuous variable.
Additional Files
The Article in Brief
Decreasing Use of Primary Care: A Repeated Cross-Sectional Study of MEPS 2007-2017
Michael E. Johansen , and colleagues
Background Despite seeing gains in insurance coverage for preventive health services under the Affordable Care Act, the US has seen a declining rate of primary care visits over the past fifteen years. Are fewer individuals seeing primary care doctors.
What This Study Found The authors of this study compared two factors that contribute to that decline to determine whether it was the number of primary care patients or the frequency of their clinical visits that contributed most to the overall decline. Over a fifteen year period from 2002 to 2017, both the number of unique patients seeing PCPs and the number of visits per patient declined. At the start of their analysis in 2002, most Americans saw a primary care physician about 4.3 times in a two-year span. By the end of the study in 2016, frequency of contact dropped to about 3.7 visits. Additionally, the total number of unique patients who had contact with a primary care physician decreased by 2.5% over 15 years and declined across all age groups at varying rates. Applying the rates to adjusted population estimates, the authors conclude that less frequent visits by the average American makes up a larger proportion of the primary care decline compared to the number of primary care patients overall.
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