Direct primary care: Family physician perceptions of a growing model

Area of Science:

• Primary Care Practice Models
• Healthcare Delivery Reform
• Physician Practice Patterns

Background:

• Direct Primary Care (DPC) is a physician-driven model where patients pay a monthly fee for direct access to primary care services.
• Unlike traditional models, DPC emphasizes patient access and reduced administrative burden for physicians.
• Awareness and physician perceptions of DPC's effectiveness in addressing primary care challenges were previously unclear.

Purpose of the Study:

• To assess family physicians' awareness of the Direct Primary Care model.
• To understand physicians' perceptions of DPC's potential to address primary care access and administrative burden.
• To explore physician concerns and views on DPC based on their practice experience.

Main Methods:

• An online survey was conducted in July 2017 among members of the American Academy of Family Physicians.
• The survey, based on AAFP definitions, included questions on awareness and perceptions of DPC.
• A response rate of 33% (n=225) was achieved from the sample of 672 physicians.

Main Results:

• 85% of respondents had heard of DPC, with 8% currently practicing in a DPC model.
• Physicians generally believed DPC could lower administrative burden, improve doctor-patient relationships, and enhance access.
• Concerns were raised about DPC's suitability for vulnerable populations and potential physician shortages, with DPC physicians showing more favorable views.

Conclusions:

• Clearer definitions and further education on DPC, particularly regarding benefits for vulnerable patients and practice standards, are necessary.
• Physician perceptions of DPC vary significantly based on practice experience.
• Physicians practicing DPC appear to be strong advocates for the model, highlighting its patient-centered benefits.