Does Ownership Make a Difference in Primary Care Practice?
PURPOSE: We assessed differences in structural characteristics, quality improvement processes, and cardiovascular preventive care by ownership type among 989 small to medium primary care practices.
METHODS: This cross-sectional analysis used electronic health record and survey data collected between September 2015 and April 2017 as part of an evaluation of the EvidenceNOW: Advancing Heart Health in Primary Care Initiative by the Agency for Health Care Research and Quality. We compared physician-owned practices, health system or medical group practices, and Federally Qualified Health Centers (FQHC) by using 15 survey-based practice characteristic measures, 9 survey-based quality improvement process measures, and 4 electronic health record-based cardiovascular disease prevention quality measures, namely, aspirin prescription, blood pressure control, cholesterol management, and smoking cessation support (ABCS).
RESULTS: Physician-owned practices were more likely to be solo (45.0% compared with 8.1%,
CONCLUSIONS: Primary care practice ownership was associated with differences in quality improvement process measures, with FQHCs reporting the highest use of such quality-improvement strategies. ABCS were mostly unrelated to ownership, suggesting a complex path between quality improvement strategies and outcomes.
Published In/Presented At
Lindner, S. Solberg, L. I., Miller, W. L., Balasubramanian, B. A., Marino, M. McConnell, K J. Edwards, S. T., Stange, K. C., Springer, R. J., Cohen, D. J. (2019). Does Ownership Make a Difference in Primary Care Practice?. Journal of the American Board of Family Medicine. 32(3), 398-407. doi: 10.3122/jabfm.2019.03.180271.
Department of Family Medicine, Department of Family Medicine Faculty