Evidence map›Paper›PMID 29535243›Full record

ArticleJournal of the American Board of Family Medicine : JABFM

Physician Multisite Practicing: Impact on Access to Care.

Imam M Xierali

Abstract read
In one paragraph

Article in Journal of the American Board of Family Medicine : JABFM. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

  1. Article
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  8. Geographic differences in community oncology provider and practice location characteristics in the central United States.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2022
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author.

Imam M XieraliFrom Department of Family and Community Medicine, UT Southwestern Medical Center, Dallas, TX; Department of Family Medicine, Georgetown University Medical Center, Washington, DC; and Department of Geography and Anthropology, Louisiana State University, Baton Rouge. imam.xierali@utsouthwestern.edu.

Funding

Reducing Physician Distribution Uncertainty in Spatial Accessibility ResearchR21CA182874 · NCI · ASSOCIATION OF AMERICAN MEDICAL COLLEGES · PI XIERALI, IMAM · 2014 to 2015
$288k
NCI NIH HHS R21 CA182874
6 · The paper itself

Abstract

backgroundPhysician multisite practicing may affect access to care. However, study measuring the degree of multisite practicing is generally lacking. This study aimed to describe physician multisite practicing patterns in Georgia and to assess its impact on access to care.

methodsUsing data from the Georgia Medicaid Management Information System, the American Medical Association Physician Masterfile, and the US Census, mean number of practice sites per physician was calculated. Counts of sites per physician were then modeled in a negative binomial regression. Local differences in spatial accessibility were assessed based on single-site verse multisite practice locations.

resultsAmong 20,116 physicians (mean age, 49.4 years; 30.5% female) in Georgia, 63.2% reported multiple practice sites. The average practice sites per physician was 3.3 overall, 2.6 for primary care physicians, and 3.6 for other physicians. Younger age, male sex, and practicing in group practice setting were associated with a higher number of practice sites per physician. Spatial accessibility index changed substantially when controlling for multiple practice sites.

conclusionsPhysician multisite practicing was prevalent and affected geographic access to care. More research and investment into health workforce information infrastructure seem warranted to accommodate changing physician practice patterns in data collection and dissemination.

Indexed as

EmploymentFemaleGeorgiaHealth Services AccessibilityHealth WorkforceHumansMaleMedicaidMiddle AgedPhysiciansPractice Patterns, Physicians'PregnancyUnited StatesAccess to Health CareAmerican Medical AssociationCensusGeorgiaGroup PracticeMedicaidPrimary Care Physicians

Identifiers

PMID29535243
PMCPMC5881375

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.