ArticleJournal of general internal medicine2019
Evidence and Implications Behind a National Decline in Primary Care Visits.
Article in Journal of general internal medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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.
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.
Who cites it
22 citing papers in PubMed, 35 citations in OpenAlex.
- Postpartum Primary Care Engagement Using Default Scheduling and Tailored Messaging: A Randomized Clinical Trial.JAMA network open · 2024Trial
- Primary Care Access and the Role of Telemedicine for Traditional Medicare Beneficiaries.JAMA health forum · 2026Article
- Willingness of Older Adults to Travel for Medical Care.JAMA network open · 2026Article
- Trends in Urgent Care Utilization Among Medicare Beneficiaries From 2012 to 2019.JAMA network open · 2026Article
- Association Between Usual Clinician Presence and Emergency Department Revisitation.Journal of the American Geriatrics Society · 2026Article
- Emergency Department Utilization by Race, Ethnicity, Language, and Medicaid Status.The western journal of emergency medicine · 2025Article
- Geographical variation in physician supply and its relationship to utilization of care across older adults in the United States.Health affairs scholar · 2025Article
- Measurement of breast artery calcification using an artificial intelligence detection model and its association with major adverse cardiovascular events.PLOS digital health · 2024Article
- Increasing Postpartum Primary Care Engagement through Default Scheduling and Tailored MessagingmedRxiv : the preprint server for health sciences · 2024Article
- Primary Care Access During the COVID-19 Pandemic: a Simulated Patient Study.Journal of general internal medicine · 2021Article
- National Trends and Outcomes Associated With Presence and Type of Usual Clinician Among Older Adults With Multimorbidity.JAMA network open · 2021Article
- Article
- [The impact of the COVID-19 pandemic on first-line primary care in southeastern France: Feedback on the implementation of a real-time monitoring system based on regional health insurance data].Revue d'epidemiologie et de sante publique · 2021Article
- Hypertension Management in Emergency Departments.American journal of hypertension · 2020Review
- Trends in Total and Out-of-Pocket Expenditures for Visits to Primary Care Physicians, by Insurance Type, 2002-2017.Annals of family medicine · 2020Article
- Association of Elevated Blood Pressure in the Emergency Department With Chronically Elevated Blood Pressure.Journal of the American Heart Association · 2020Article
- Trends in Pediatric Primary Care Visits Among Commercially Insured US Children, 2008-2016.JAMA pediatrics · 2020Article
- Differences in referral patterns for rural primary care physicians from 2005 to 2016.Health services research · 2020Article
- National Trends in Primary Care Visit Use and Practice Capabilities, 2008-2015.Annals of family medicine · 2019Article
- Changes in Rates and Content of Primary Care Visits Within an Evolving Health Care System.Annals of family medicine · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Primary care is the foundation of the health care system and the basis for new payment and delivery reforms in the USA. Yet since 2008, primary care visit rates dropped by 6-25% across a range of populations in five sources of national survey and administrative data. We hypothesize three likely mechanisms behind the decline: decreases in patients' ability, need, or desire to seek primary care; changes in primary care practice such as greater use of teams and non-face-to-face care; and replacement of in-person primary care visits with alternatives such as specialist, retail clinic, and commercial telemedicine visits. These mechanisms require further investigation. In the meantime, the trend prompts us to optimize the primary care visit and embrace the growth of alternatives while preserving the fundamental benefits of primary care.
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What OpenQuestion holds
Registered trials
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.