Table 4. Changes in Primary Care Accessibility and Select Practice Capabilities Between 2017 and 2022, Stratified by Ownership.
| Domain | Independently owned | Physician group owned | Hospital/health system owned | ||||||
|---|---|---|---|---|---|---|---|---|---|
| 2017-2018 Survey (n = 234) | 2022-2023 Survey (n = 193) | Adjusted difference (95% CI)a | 2017-2018 Survey (n = 105) | 2022-2023 Survey (n = 85) | Adjusted difference (95% CI)a | 2017-2018 Survey (n = 321) | 2022-2023 Survey (n = 380) | Adjusted difference (95% CI)a | |
| Accessibility, weighted % of respondents | |||||||||
| Offer extended hoursb | 53 | 38 | −15 (−26 to −3) | 69 | 53 | −15 (−31 to 1) | 60 | 54 | −5 (−12 to 2) |
| Offer weekend visits | 49 | 30 | −20 (−32 to −7) | 49 | 34 | −12 (−27 to 4) | 36 | 20 | −15 (−20 to −10) |
| Select practice capability composite scores, mean on 100-point scale | |||||||||
| Average capability score (excluding access) | 45 | 47 | 2 (−3 to 7) | 56 | 59 | 3 (−3 to 9) | 53 | 58 | 5 (2 to 8) |
| Behavioral health integration | 21 | 19 | −0.4 (−10 to 9) | 33 | 26 | −10 (−25 to 6) | 48 | 48 | −0.4 (−9 to 8) |
| Depression care processes | 66 | 68 | 2 (−4 to 9) | 72 | 76 | 4 (−3 to 10) | 65 | 74 | 10 (5 to 14) |
| Care of patients with complex/high needs | 41 | 62 | 20 (13 to 27) | 55 | 66 | 14 (5 to 22) | 47 | 60 | 13 (9 to 17) |
| Chronic disease management processes | 45 | 42 | −3 (−13 to 9) | 62 | 63 | 2 (−11 to 15) | 56 | 61 | 5 (−2 to 11) |
a
Values may differ due to rounding. Adjusted for accountable care organization participation and ownership. Accessibility adjusted differences are reported in percentage points.
b
Visits before 8 am or after 5 pm on weekdays.