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Physician Survey Data

The 2015 Commonwealth Fund International Survey of 11 nations found that nearly one-quarter of primary care physicians in the United States report they are not prepared to care for the sickest and frailest patients. The findings suggest the U.S. may need to do more to strengthen primary care and employ new ideas shown to be effective in other countries.

Preparedness to Manage the Care of Patients with Complex Needs

Doctors’ Views of Practice Preparedness to Manage Patients with Multiple Chronic Conditions

Percent of primary care physicians reporting their practice is well-prepared to manage the care of patients with multiple chronic conditions

Excludes those who NEVER see those patients

Doctors’ Views of Practice Preparedness to Manage Patients with Severe Mental Health Issues

Percent of primary care physicians reporting their practice is well-prepared to manage the care of patients with severe mental health issues

Excludes those who NEVER see those patients

Doctors’ Views of Practice Preparedness to Manage Patients with Substance-Use Related Issues

Percent of primary care physicians reporting their practice is well-prepared to manage the care of patients with patients with substance-use related issues

Excludes those who NEVER see those patients

Doctors’ Views of Practice Preparedness to Manage Patients in Need of Palliative Care

Percent of primary care physicians reporting their practice is well-prepared to manage the care of patients in need of palliative care, including for cancer

Excludes those who NEVER see those patients

Doctors’ Views of Practice Preparedness to Manage Patients in need of Long-Term Home Care Services

Percent of primary care physicians reporting their practice is well-prepared to manage the care of patients in need of long-term home care services (nursing, personal care)

Excludes those who NEVER see those patients

Doctors’ Views of Practice Preparedness to Manage Patients in need of Social Services in the Community

Percent of primary care physicians reporting their practice is well-prepared to manage the care of patients in need of social services in the community

Excludes those who NEVER see those patients

Doctors’ Views of Practice Preparedness to Manage Patients with Dementia

Percent of primary care physicians reporting their practice is well-prepared to manage the care of patients with dementia

Excludes those who NEVER see those patients

Practice’s Capacity to Provide Enhanced Access and Care Management

Practice Uses Nurses or Case Managers to Monitor and Manage Care for Patients with Chronic Conditions

Percent of primary care physicians reporting their practice is well-prepared to manage the care of patients with multiple chronic conditions

Practice Staff Frequently Make Home Visits

Percent of primary care physicians reporting that practice staff frequently make home visits

Practice Has Arrangement for Patients’ After-Hours Care to See Doctor or Nurse

Percent of primary care physicians reporting their practice has arrangement for patients to see doctor or nurse after hours without going to emergency department

In Norway, respondents were asked whether their practice has arrangements or if there are regional arrangements, reflecting the fact that municipalities—and not primary care physicians—have responsibility for primary care after-hours services in this country.

Practice Offers Patients the Option to E-mail about Medical Question or Concern

Percent of primary care physicians reporting their patients can e-mail about a medical question or concern

Practice Offers Patients the Option to View Online, Download, or Transmit Information from Their Medical Record

Percent of primary care physicians reporting their patients can view online, download, or transmit information from their medical record

Communication with Specialists

Primary Care Doctors’ Communication with Specialists

Percent of primary care physicians who reported that they always or often receive a report back from the specialist with all relevant health information, and the information they that receive is always or often timely and available when needed

Doctors who reported that they always or often receive a report back from the specialist with all relevant health information, and the information they that receive is always or often timely and available when needed

Communication with Hospital and Emergency Department

Primary Care Doctors’ Communication with Hospital

Percent of primary care physicians reporting they are always notified when patient is discharged from the hospital

Primary Care Doctors’ Communication with Emergency Department

Percent of primary care physicians reporting they are always notified when patient is seen in the emergency department

Communication with Home Care Providers and Social Services

Practice Routinely Communicates with Home Care Providers About Patients’ Needs and Services

Percent of primary care physicians reporting their practice routinely communicates with home care provider about patient's needs and services

Excludes respondents who said “Not applicable.”

Practice Routinely is Advised of Relevant Change in Home Care Patient’s Condition or Status

Percent of primary care physicians reporting their practice is routinely advised of a relevant change in home care patient's condition or status

Excludes respondents who said “Not applicable.”

Practice Frequently Coordinates Care with Social Services or Other Community Providers

Percent of primary care physicians reporting their practice frequently coordinates care with social services or community providers

Health Information Technology

Doctors’ Use of Electronic Medical Records

Percent of primary care physicians reporting they use an electronic medical record

Doctor Routinely Receives Computerized Reminder for Guideline-Based Intervention or Screening Tests

Percent of primary care physicians reporting they routinely receive computerized reminder for guideline-based intervention or screening tests

Doctor Can Electronically Exchange Patient Summaries with Doctors Outside their Practice

Percent of primary care physicians reporting they can electronically exchange patient clinical summaries with doctors outside practice

Satisfaction with Electronic Medical Record

Percent of primary care physicians reporting they are very satisfied or satisfied with their electronic medical record

Base: Doctors reporting they use an electronic record.

Satisfaction and Views of Health Care System

Overall Views of Health Care System Among Primary Care Physicians

Percent of primary care physicians agreeing with the statement “On the whole the health care system works pretty well and only minor changes are necessary to make it work better.”

Physician Views of Whether the Quality of Care Has Improved in the Past Three Years

Percent of primary care physicians reporting the quality of care their patients receive throughout the health system in past three years has improved

Physician Views of Whether the Quality of Care Has Improved in the Past Three Years

Percent of primary care physicians reporting the quality of care their patients receive throughout the health system in past three years has gotten worse

Physician Views of Whether the Quality of Care Has Improved in the Past Three Years

Percent of primary care physicians reporting the quality of care their patients receive throughout the health system in past three years has stayed the same

Physician Dissatisfaction with Income from Medical Practice

Percent of primary care physicians reporting they are somewhat or very dissatisfied practicing medicine

Stressfulness of Job as a Primary Care Physician

Percent of primary care physicians reporting their job is very or extremely stressful

Time Practice Spends on Insurance Issues or Claiming Payments is a MAJOR problem

Percent of primary care physicians reporting the amount of time practice spends on administrative issues related to insurance or claiming payments is a major problem

Physician Satisfaction with Time Spent per Patient

Percent of primary care physicians reporting they are somewhat or very dissatisfied with time spent per patient

Physician Dissatisfaction with Income from Medical Practice

Percent of primary care physicians reporting they are somewhat/very or dissatisfied with their income