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Letters | September 21, 2011

Primary Care Physician Workforce and Outcomes

Robert L. Phillips, MD, MSPH; Stephen C. Petterson, PhD; Andrew W. Bazemore, MD, MPH

JAMA. 2011;306(11):1201-1202. doi:10.1001/jama.2011.1324.

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To the Editor: Decades of ecologic evidence linking primary care and decreased cost¹ have been challenged by recent studies,² including the recent study by Dr Chang and colleagues.³ This study linked individual Medicare beneficiary claims data to physicians and assessed 3 key health outcomes while ecologically accounting for patient, population, and other workforce characteristics within primary care service areas. This improves on previous studies by connecting beneficiaries and their outcomes directly to physicians. The study also tested the limitations of the American Medical Association (AMA) Masterfile count of primary care physicians by using Medicare claims data to assign full-time equivalents.

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September 21, 2011

Primary Care Physician Workforce and Outcomes—Reply

Chiang-Hua Chang, PhD; Therese A. Stukel, PhD; David C. Goodman, MD, MS

JAMA. 2011;306(11):1201-1202. doi:10.1001/jama.2011.1325.

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 Credit^TM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 Credit^TM.

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Phillips RL, Petterson SC, Bazemore AW. Primary Care Physician Workforce and Outcomes. JAMA. 2011;306(11):1201-1202. doi:10.1001/jama.2011.1324.

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