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Distributional Differences between Family Physicians and General Internists.

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Summary

Family physicians concentrate in rural areas and underserved communities, while general internists dominate urban settings. Understanding these geographic disparities is crucial for addressing primary care workforce shortages.

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Area of Science:

Health Services Research
Medical Geography
Physician Workforce Studies

Background:

Differences in practice style and cost between family medicine and internal medicine are established.
Geographic distribution disparities between family physicians and general internists are less understood.

Purpose of the Study:

To investigate the geographic and demographic distribution differences between family physicians and general internists.
To identify patterns in physician distribution relevant to primary care access.

Main Methods:

Utilized the 2016 American Medical Association Physician Master File for physician data.
Employed the 2015 American Community Survey for geographic and demographic characteristics.
Analyzed distribution patterns based on urban/rural location, region, and socio-economic factors.

Main Results:

General internists are more prevalent in urban areas, particularly in the Northeast, West, and South.
Family physicians are more likely to practice in rural areas and Health Professional Shortage Areas.
Family physician distribution correlates with areas serving racial/ethnic minorities, poverty, and uninsured populations.

Conclusions:

Significant geographic and demographic differences exist in the distribution of family physicians and general internists.
These disparities highlight the need to consider physician distribution in strategies for primary care workforce planning.
Addressing regional and national primary care shortages requires targeted approaches based on these observed patterns.