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. 2025 Feb 7;6(2):e245237. doi: 10.1001/jamahealthforum.2024.5237

Table 2. Changes in Primary Care Practice Capabilities and Accessibility Between 2017-2018 and 2022-2023.

Domain Survey years Difference (95% CI)a
2017-2018 2022-2023
Accessibility, weighted % of respondents
Offer extended hoursb 61 51 −10 (−15 to −4)
Offer weekend visits 44 26 −18 (−24 to −12)
Use advanced access scheduling (most or all health care professionals) 60 26 −34 (−41 to −27)
Practice capability composite scores, mean on 100-point scale
Average capability score (excluding access) 51 54 4 (1 to 6)
Behavioral health integration 41 41 0.5 (−5 to 6)
Motivational interviewing training 42 45 3 (−3 to 9)
Depression care processes 67 72 6 (2 to 9)
Screening for social needs 37 43 7 (1 to 12)
Care of patients with complex/high needs 46 61 15 (12 to 19)
Electronic health record integration 59 67 9 (5 to 12)
Patient-reported outcome measures 63 70 7 (2 to 12)
Screening for clinical conditions 75 76 0.8 (−4 to 55)
Physician and clinic improvement processes 44 41 −3 (−7 to 0.2)
Chronic disease management processes 52 53 1 (−4 to 7)
a

Values may differ due to rounding. Accessibility differences are reported in percentage points.

b

Visits before 8 am or after 5 pm on weekdays.