MJA
MJA InSight
MJA Careers
GP Funding — Viewpoints

How family physicians are funded in the United States

Larry A Green
Med J Aust 2004; 181 (2): 113-114.

Underperformance of the healthcare system at great expense is the situation in the United States. The results are great inequity, problems with access, missed opportunities for prevention, fragmented rather than integrated care, relatively poor chronic disease care, and high expenses without commensurate improvements in health as compared with what would be expected from a well-functioning primary care system.1 Indeed, “. . .

Larry A Green, MD, Director
The Robert Graham Center, Policy Studies in Family Medicine and Primary Care, Washington, DC, USA.
Article References: 
Reference Text: 
Phillips RL Jr, Starfield B. Why does a US primary care physician workforce crisis matter? Am Fam Physican 2003; 68: 1494-1505.
Reference Order: 
1
PubMed ID: 
Reference Text: 
Mello MM, Studdert DM, Brennan TA. The pharmaceutical industry vs Medicaid-limits on state initiatives to control prescription-drug costs. N Engl J Med 2004; 305: 608-613.
Reference Order: 
2
PubMed ID: 
Reference Text: 
Levit K, Smith C, Cowan C, et al. Health spending rebound continues in 2002. Health Affairs 2004; 23(1): 147-159.
Reference Order: 
3
PubMed ID: 
15002637
Reference Text: 
2004 FACTS about family practice. Table 8: Practice profile of family physicians by family practice residency completion, January 1, 2004. Available at: www.aafp.org/x763.xml (accessed Jun 20 04).
Reference Order: 
4
PubMed ID: 
Reference Text: 
DeVoe J, Fryer GE, Hargraves L, et al. Does career dissatisfaction affect the ability of family physicians to deliver high-quality patient care? J Fam Pract 2002; 51: 223-228.
Reference Order: 
5
PubMed ID: 
11978232
Reference Text: 
Future of Family Medicine Project Leadership Committee. Martin JC, Chairman. The future of family medicine: a collaborative project of the family medicine community. Ann Fam Med 2004; 2 Suppl: S3-S32.
Reference Order: 
6
PubMed ID: 
Reference Text: 
Hill E. Making sense of preventive medicine coding. Fam Pract Manag 2004; 11: 49-54.
Reference Order: 
7
PubMed ID: 
15101156
Reference Text: 
Leatherman S, Berwick D, Iles D, et al. The business case for quality: case studies and an analysis. Health Affairs 2003; 22(2): 17-30.
Reference Order: 
8
PubMed ID: 
12674405
Reference Text: 
Galvin R. Purchasing health care: an opportunity for a public–private partnership. Health Affairs 2003; 22(2): 191-195.
Reference Order: 
9
PubMed ID: 
12674421
Reference Text: 
Wallack SS, Tompkins CP. Realigning incentives in fee-for-service medicare. Health Affairs 2003; 22(4): 59-70.
Reference Order: 
10
PubMed ID: 
12889751
Reference Text: 
Weil A. There’s something about Medicaid. Health Affairs 2003; 22(1): 13-30.
Reference Order: 
11
PubMed ID: 
12528836
Reference Text: 
Dale S, Brown R, Phillips B, et al. The effects of cash and counseling on personal care services and medicaid costs in Arkansas. Health Affairs 2003; W3: 566-575.
Reference Order: 
12
PubMed ID: 
Reference Text: 
Finkelstein EA, Flebelkorn IC, Wang G. National medical spending attributable to overweight and obesity: how much and who’s paying? Health Affairs 2003; W3: 219-226.
Reference Order: 
13
PubMed ID: 
Reference Text: 
The Washington Primary Care Forum #33. Cosmos Club. 18 Dec 2003.
Reference Order: 
14
PubMed ID: 
Reference Text: 
Green LA, Graham R, Frey JJ, Stephens GG, editors. Keystone III. The role of family practice in a changing health care environment: a dialogue. Washington, DC: The Robert Graham Center, American Academy of Family Physicians, 2001.
Reference Order: 
15
PubMed ID: 

The full contents of this page are only available to subscribers.