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Physician Multisite Practicing: Impact on Access to Care.

Imam M Xierali1

  • 1From 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.

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PubMed
Summary

Physician multisite practicing is common in Georgia, with 63.2% of doctors working at multiple locations. This practice significantly impacts geographic access to healthcare services for patients.

Keywords:
Access to Health CareAmerican Medical AssociationCensusGeorgiaGroup PracticeMedicaidPrimary Care Physicians

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Area of Science:

  • Health Services Research
  • Medical Geography
  • Physician Workforce Studies

Background:

  • Physician multisite practicing is a growing trend.
  • Limited research quantifies multisite practicing and its effect on healthcare access.
  • Understanding these patterns is crucial for healthcare planning.

Purpose of the Study:

  • To describe physician multisite practicing patterns in Georgia.
  • To assess the impact of multisite practicing on access to care.

Main Methods:

  • Utilized data from Georgia Medicaid Management Information System, AMA Physician Masterfile, and US Census.
  • Calculated mean number of practice sites per physician.
  • Modeled site counts using negative binomial regression and assessed spatial accessibility.

Main Results:

  • 63.2% of 20,116 Georgia physicians reported multiple practice sites.
  • Average practice sites per physician was 3.3 (2.6 for PCPs, 3.6 for others).
  • Younger age, male sex, and group practice settings correlated with more sites; spatial accessibility was affected.

Conclusions:

  • Physician multisite practicing is prevalent and influences geographic patient access.
  • Enhanced health workforce information infrastructure is needed to track evolving physician practice patterns.
  • Further research and investment are recommended.