Coleman, Morton and Mihok, Briana
(2011)
Primary Care in Pennsylvania: Defining the Problem and Identifying Potential State Policy Solutions.
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Abstract
The Center for American Progress calls the primary care work-force “the backbone of the health care system.” However, evidence indicates that our backbone is currently deteriorating, as analysts predict a significant shortage in primary care providers within the next 10–20 years. Federal legislation that will increase the insured population will only exacerbate and accelerate the problem. As a result, it is essential that Pennsylvania determines how to deliver better primary care to its citizens before the situation becomes critical, as it already is in other states. The state will need to determine how to retain more physicians and at the same time encourage more of them to choose primary care as a specialty; how to increase the total number of nonphysician staff members and health care workers along with the number of physicians; and how to address the widening income gap between primary care physicians and specialists that is due to reimbursement rates that do not place value on much of the work that primary care physicians currently perform. The goal of this report is to help inform the policymakers in Pennsylvania as important decisions are made in the next few years in order to help them craft a comprehensive and coordinated state policy around the provision of primary care.
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