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Clinicians' Overestimation of Their Geographic Service Area.

Rock, Robert M; Liaw, Winston R; Krist, Alex H; Tong, Sebastian; Grolling, David; Rankin, Jennifer; Bazemore, Andrew W.
Ann Fam Med; 17(Suppl 1): S63-S66, 2019 Aug 12.
Artigo em Inglês | MEDLINE | Ago 2019 | ID: mdl-31405878
Resumo: In this study, we evaluated family physicians' ability to estimate the service area of their patient panel-a critical first step in contextual population-based primary care. We surveyed 14 clinicians and administrators from 6 practices. Participants circled their estimated service area on county maps that were compared with the actual service area containing 70% of the practice's patients. Accuracy was ascertained from overlap and the amount of estimated census tracts that were not part of the actual service area. Average overlap was 75%, but participants overestimated their service area by an average of 166 square miles. Service area overestimation impedes implementation of targeted community interventions by practices.