Characterizing the Role of the Primary Care Provider in Preventive Health Exams: NAMCS 2011–2014
The Affordable Care Act (ACA) shifted US health policy to emphasize disease prevention by mandating full coverage of approved preventive services.1 However, there is considerable debate regarding the continued utility of preventive health exams (PHEs) in the era of new forms of primary care.2 To inform this debate, we sought to characterize the care delivered at the PHE. We compare the services provided during PHEs by primary care providers (PCPs) vs. non-primary care providers, and also examine the services provided at PHEs compared with those provided at visits for chronic and acute conditions.
We performed a cross-sectional analysis using data from the 2011–2014 National Ambulatory Medical Care Survey (NAMCS). NAMCS is a nationally representative survey of visits to office-based physicians. We defined a visit as a PHE when the patient’s reason for visit was for a general examination, the physician’s reason for visit was preventive care, and the physician’s only...
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Conflict of Interest
The authors declare that they do not have a conflict of interest.
- 1.The Patient Protection and Affordable Care Act, P.L. 111–148, 23 March 2010.Google Scholar