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Revisiting the Time Needed to Provide Adult Primary Care
Justin Porter1, Cynthia Boyd2, M Reza Skandari3
1Department of Medicine, University of Chicago, Chicago, IL, USA. jporter1@medicine.bsd.uchicago.edu.
Journal of General Internal Medicine
|July 1, 2022
Summary
Primary care providers (PCPs) lack sufficient time for guideline-recommended patient care. Team-based care significantly reduces time needs but remains excessive for optimal preventive, chronic, and acute care delivery.
Area of Science:
- Primary Care Medicine
- Health Services Research
- Healthcare Management
Background:
- Many patients do not receive recommended preventive, chronic disease, and acute care.
- Insufficient time for primary care providers (PCPs) is a potential barrier to care delivery.
Purpose of the Study:
- To quantify the time required for PCPs to deliver 2020 guideline-recommended care.
- To compare time needs for a PCP working alone versus in a team-based care model.
Main Methods:
- A simulation study was conducted using hypothetical patient panels.
- Panels comprised 2500 patients, representative of the US adult population.
- Preventive and chronic disease care guidelines were applied to estimate time requirements.
Main Results:
- PCPs require an estimated 26.7 hours daily for comprehensive care and documentation.
- Team-based care reduced estimated daily time needs to 9.3 hours.
- Despite reductions, time requirements in team-based care remain substantial.
Conclusions:
- PCPs currently lack adequate time to provide recommended primary care.
- Team-based care models can decrease time demands but do not fully resolve the issue.
- Further systemic changes may be needed to ensure sufficient time for quality primary care.
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