Research Topics
| R L PhillipsSummaryAffiliation: American Academy of Family Physicians Country: USA Publications
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Publications
The next phase of Title VII funding for training primary care physicians for America's health care needsRobert L Phillips
The Robert Graham Center, Washington, DC 20036, USA
Ann Fam Med 10:163-8. 2012..Failure to launch such a national primary care workforce revitalization program will put the health and economic viability of our nation at risk...
Using geographic information systems to understand health care accessR L Phillips
Department of Family and Community Medicine, University of Missouri Columbia, USA
Arch Fam Med 9:971-8. 2000..Geographic information systems can analyze and transform complex data from various sources into maps that illustrate problems effortlessly for experts and nonexperts...- Exploring residency match violations in family practiceRobert L Phillips
Robert Graham Center Policy Studies in Family Practice and Primary Care, Washington, DC 20036, USA
Fam Med 35:717-20. 2003.... - The Balanced Budget Act of 1997 and the financial health of teaching hospitalsRobert L Phillips
The Robert Graham Center, Policy Studies in Family Practice and Primary Care, Washington, DC 20036, USA
Ann Fam Med 2:71-8. 2004..We also define cost report variables and calculations necessary for continued impact monitoring... - Learning from malpractice claims about negligent, adverse events in primary care in the United StatesR L Phillips
The Robert Graham Center Policy Studies in Family Practice and Primary Care, Washington, DC 20036, USA
Qual Saf Health Care 13:121-6. 2004..The epidemiology, risks, and outcomes of errors in primary care are poorly understood. Malpractice claims brought for negligent adverse events offer a useful insight into errors in primary care... - COGME's 16th Report to Congress: too many physicians could be worse than wastedRobert L Phillips
The Robert Graham Center Policy Studies in Family Medicine and Primary Care, Washington, DC 20036, USA
Ann Fam Med 3:268-70. 2005..Instead, these resources could be applied in ways that improve health... - Adding more specialists is not likely to improve population health: is anybody listening?Robert L Phillips
Robert Graham Center in Washington, DC, USA
Health Aff (Millwood) . 2005..The resurgence of interest in shaping the future physician workforce should lead to purposeful choices about what we want them to do and the outcomes we expect... - Primary care in the United States: problems and possibilitiesRobert L Phillips
Robert Graham Center, 1350 Connecticut Ave NW, Washington DC, 20036 USA
BMJ 331:1400-2. 2005 - Family physicians in the child health care workforce: opportunities for collaboration in improving the health of childrenRobert L Phillips
American Academy of Family Physicians, Robert Graham Cente4 for Policy Studies in Family Medicine and Primary Care, Washington, DC 20036, USA
Pediatrics 118:1200-6. 2006.... 
Usual source of care: an important source of variation in health care spendingRobert L Phillips
Robert Graham Center in Washington, DC, USA
Health Aff (Millwood) 28:567-77. 2009..Variation in spending might be the result of training differences among primary care specialties...- Primary care and why it matters for U.S. health system reformRobert L Phillips
Robert Graham Center, Washington, DC, USA
Health Aff (Millwood) 29:806-10. 2010..These include doubling primary care financing to 10-12 percent of total health care spending--a step that would be likely to pay for itself via resulting reductions in overall health spending... - Case study of a primary care-based accountable care system approach to medical home transformationRobert L Phillips
The Robert Graham Center, Washington, District of Columbia 20036, USA
J Ambul Care Manage 34:67-77. 2011..Phased implementation across the network makes it difficult to link improvements to specific processes but they seem to have improved outcomes collectively... - Family physicians are an important source of newborn care: the case of the state of MaineD Cohen
Robert Graham Center, Washington, DC 20036, USA
Am Fam Physician 68:593. 2003..Family medicine's commitment to serve vulnerable populations of newborns requires continued federal, state, and institutional support for training and development of future FPs... - The U.S. primary care physician workforce: persistently declining interest in primary care medical specialtiesH Biola
Robert Graham Center, Policy Studies in Family Practice and Primary Care, 1350 Connecticut Ave, NW, Suite 950, Washington, DC 20036, USA
Am Fam Physician 68:1484. 2003..S. medical students threatens the adequacy of the physician workforce of the United States. This pattern should be reversed and requires the attention of policy makers and medical educators... - Direct graduate medical education payments to teaching hospitals by Medicare: unexplained variation and public policy contradictionsG E Fryer
The American Academy of Family Physicians' Robert Graham Center for Policy Studies in Family Practice and Primary Care, in Washington, DC, USA
Acad Med 76:439-45. 2001..S. physician workforce reform and to improve access to care. There is actually a financial incentive to train residents in areas in which there is relatively less need for their services... - Family physicians increase provision of well-infant care despite decline in prenatal servicesJ W Mold
Robert Graham Center, Policy Studies in Family Practice and Primary Care, 1350 Connecticut Ave, NW, Suite 950, Washington, DC 20036, USA
Am Fam Physician 67:17. 2003..This commitment to child health care demands continued excellence of family physician training in pediatric medicine, preventive care, and child advocacy... - The U.S. primary care physician workforce: undervalued serviceH Biola
Robert Graham Center, Policy Studies in Family Practice and Primary Care, 1350 Connecticut Ave, NW, Suite 950, Washington, DC 20036, USA
Am Fam Physician 68:1486. 2003..Primary care physicians work hard, but their compensation is not correlated to their work effort when compared with physicians in other specialties. This disparity contributes to student disinterest in primary care specialties... - A preliminary taxonomy of medical errors in family practiceS M Dovey
Robert Graham Center Policy Studies in Family Practice and Primary Care, 2023 Massachusetts Ave NW, Washington, DC 20036, USA
Qual Saf Health Care 11:233-8. 2002..To develop a preliminary taxonomy of primary care medical errors... - Family physicians are the main source of primary health care for the Medicare populationJ W Mold
Robert Graham Center Policy Studies in Family Practice and Primary Care, Washington, DC 20036, USA
Am Fam Physician 66:2032. 2002 - The U.S. primary care physician workforce: minimal growth 1980-1999H Biola
Robert Graham Center, Policy Studies in Family Practice and Primary Care, 1350 Connecticut Ave, NW Suite 950, Washington, DC 20036, USA
Am Fam Physician 68:1483. 2003..This has occurred despite calls during the same period for increased production of primary care physicians and educational reforms focusing on primary care... - Few people in the United States can identify primary care physiciansM C Stock Keister
Robert Graham Center Policy Studies in Family Medicine and Primary Care, 1350 Connecticut Ave, NW, Suite 201, Washington, DC 20036, USA
Am Fam Physician 69:2312. 2004..This lack of discrimination compromises the goal of achieving primary care for all and merits immediate attention... - The ecology of medical care for children in the United States: a new application of an old model reveals inequities that can be correctedS M Dovey
Robert Graham Center: Policy Studies in Family Practice and Primary Care, Washington, DC 20036, USA
Am Fam Physician 68:2310. 2003 - Types of medical errors commonly reported by family physiciansS M Dovey
Robert Graham Center Policy Studies in Family Practice and Primary Care, 1350 Connecticut Ave, NW, Suite 950, Washington, DC 20036, USA
Am Fam Physician 67:697. 2003..quot;Errors in prescribing medications" was the only one of these five error types that was also commonly reported by family physicians in other countries... - Uncoordinated growth of the primary care work forceR L Phillips
Robert Graham Center, Policy Studies in Family Practice and Primary Care, Washington, DC 20036, USA
Am Fam Physician 64:1498. 2001..Training capacity for these professions has increased rapidly over the physician assistant decade, but almost no collaborative work force planning has occurred... - Consequences of medical errors observed by family physiciansS M Dovey
Robert Graham Center: Policy Studies in Family Practice and Primary Care, 1350 Connecticut Ave, NW Suite 950, Washington, DC 20036, USA
Am Fam Physician 67:915. 2003..Other important consequences were financial and time costs to patients, health care providers, and the health system generally. However, sometimes no consequence was apparent... - Title VII funding is associated with more family physicians and more physicians serving the underservedD Meyers
Robert Graham Center Policy Studies in Family Practice and Primary Care, Washington, DC 20036, USA
Am Fam Physician 66:554. 2002..Title VII has been successful in achieving its stated goals and has had an important role in addressing U.S. physician workforce policy issues... - Family physicians make a substantial contribution to maternity care: the case of the state of MaineD Cohen
Robert Graham Center, Policy Studies in Family Practice and Primary Care, 1350 Connecticut Ave, NW, Suite 950, Washington, DC 20036 USA
Am Fam Physician 68:405. 2003..As family medicine explores its future scope, research identifying regional variations in the maternity care workforce may clarify the need for maternity care training in residency and labor and delivery services in practice... - Chiropractors are not a usual source of primary health careJ McCann
Robert Graham Center: Policy Studies in Family Medicine and Primary Care, 1350 Connecticut Ave, NW, Suite 201, Washington, DC 20036, USA
Am Fam Physician 69:2544. 2004..Unlike the care given by primary care providers, the majority of care provided by chiropractors is limited to musculoskeletal problems... - Who filled first-year family medicine residency positions from 1991 to 2004?L S Klein
Robert Graham Center Policy Studies in Family Medicine and Primary Care, Washington, DC 20036, USA
Am Fam Physician 72:392. 2005..Overall fill rates in July have been relatively stable at approximately 94 percent. Family medicine has become reliant on international medical graduates (IMGs), who in 2004 made up 38 percent of first-year residents... - Family physicians are an important source of mental health careA Subramanian
Robert Graham Center, Policy Studies in Family Practice and Primary Care, 1350 Connecticut Ave, NW Suite 950, Washington, DC 20036, USA
Am Fam Physician 67:1422. 2003..This proportion has remained stable over the past two decades despite a decline in many other types of office visits to family physicians. Family physicians remain an important source of mental health care for Americans... - Does career dissatisfaction affect the ability of family physicians to deliver high-quality patient care?Jennifer DeVoe
Robert Graham Center for Policy Studies in Family Practice and Primary Care, 1350 Connecticut Ave, Washington, DC, 20036, USA
J Fam Pract 51:223-8. 2002..We examined the association between FP/GP dissatisfaction and an inability to deliver high-quality care... - American Board of Family Medicine (ABFM) maintenance of certification: variations in self-assessment modules uptake within the 2006 cohortAndrew W Bazemore
The Robert Graham Center, Washington, DC, USA
J Am Board Fam Med 23:49-58. 2010.... - Harnessing Geographic Information Systems (GIS) to enable community-oriented primary careAndrew Bazemore
The Robert Graham Center, Washington, DC, USA
J Am Board Fam Med 23:22-31. 2010.... - Variation in the ecology of medical careGeorge E Fryer
The Robert Graham Center, American Academy of Family Physicians, Washington, DC 20036, USA
Ann Fam Med 1:81-9. 2003..We wanted to quantify how the location in which medical care is delivered in the United States varies with the sociodemographic characteristics and health care arrangements of the individual person... - The association of Title VII funding to departments of family medicine with choice of physician specialty and practice locationGeorge E Fryer
Robert Graham Center for Policy Studies in Family Practice and Primary Care, Washington, DC, USA
Fam Med 34:436-40. 2002..This study assessed the relationships of Title VII funding with physicians' choices of practice specialty and location... - Specialist physicians providing primary care services in ColoradoGeorge E Fryer
Robert Graham Center for Policy Studies in Family Practice and Primary Care, American Academy of Family Physicians, Washington, DC 20036, USA
J Am Board Fam Pract 17:81-90. 2004..There is a greater proportion of specialists than primary care physicians, a specialty mix different from that of most other developed countries... - Greater NIH investment in family medicine would help both achieve their missionsSean C Lucan
The Robert Graham Center Policy Studies in Family Medicine and Primary Care, Washington, DC, USA
Am Fam Physician 81:704. 2010..Family medicine can help the NIH speed research discovery and improve research relevance; the NIH can help family medicine build its research capacity; and such mutual benefit could mean improvement in public health... - Sleeping position: change in practice, advice, and opinion in the newborn nurseryJ E Delzell
Center for Family Medicine Science, Department of Family and Community Medicine, University of Missouri Columbia, MO 65212, USA
J Fam Pract 50:448. 2001..The goal of this study was to determine changes in newborn nursery policies and practices regarding infant sleeping position between 1992 and 1999... - What physicians need to know about seniors and limited prescription benefits, and whyT Chien-Wen
Robert Graham Center, Policy Studies in Family Practice and Primary Care, Washington, DC 20036, USA
Am Fam Physician 66:212. 2002..Family physicians can play a valuable role by helping seniors choose the best value medications for their budgets and by checking whether or not seniors can afford their prescriptions... - Tailoring tobacco counseling to the competing demands in the clinical encounterC R Jaen
Department of Family and Community Medicine, University of Texas Health Science Center at San Antonio, 78229, USA
J Fam Pract 50:859-63. 2001..We identified patterns of tobacco cessation counseling in primary care practices, including contextual factors that influence its provision... - What people want from their family physicianM C Stock Keister
Robert Graham Center Policy Studies in Family Medicine and Primary Care, 1350 Connecticut Ave, NW, Suite 201, Washington, DC 20036, USA
Am Fam Physician 69:2310. 2004..If the U.S. health care system is ever to become patient-centered, it must be designed to support these values and sustain, rather than fracture, the relationships people have with their primary physician... - Can nurse practitioners and physicians beat parochialism into plowshares?Robert L Phillips
Robert Graham Center Policy Studies in Family Practice and Primary Care, Washington, DC, USA
Health Aff (Millwood) 21:133-42. 2002..The country can ill afford doctors and nurses who ignore one another's capabilities and fail to maximize each other's contributions cost-effectively... - Primary care's eroding earnings: is congress concerned?Brian Yoshio Laing
Department of Family and Community Medicine, University of California, San Francisco, CA 94110, USA
J Fam Pract 57:578-83. 2008..Congress has the power to intervene in this impending crisis. If we want to influence lawmakers' actions, we need to know how they are thinking about these issues... - Residency footprints: assessing the impact of training programs on the local physician workforce and communitiesValerie F Reese
Department of Family and Community Medicine, University of Texas Health Science Center, San Antonio, TX 78248, USA
Fam Med 40:339-44. 2008..We report on a novel approach to measuring the regional effect of residency training programs closures using a combination of quantitative and spatial methods... - GME financing reform: the saga continuesRobert L Phillips
The Robert Graham Center, Policy Studies in Family Practice and Primary Care, Washington, DC, USA
J Gen Intern Med 17:311-2. 2002 - The Canadian contribution to the US physician workforceRobert L Phillips
The Robert Graham Center, Policy Studies in Family Medicine and Primary Care, Washington, DC 20036, USA
CMAJ 176:1083-7. 2007..We sought to examine the migration pattern of Canadian-trained physicians to the United States, the contribution of this migration to the Canadian physician shortage and policy options in light of competing shortages in both countries... - The increase in international medical graduates in family practice residency programsNerissa N Koehn
Robert Graham Center for Policy Studies in Family Practice and Primary Care, Washington, DC, USA
Fam Med 34:429-35. 2002..6% from 1997-2001. This study sought to determine the degree of reliance on international medical graduates (IMGs) to fill family practice residency positions and the relative proportion of US citizen IMGs... - Characteristics of smoking cessation guideline use by primary care physiciansDaniel R Longo
Department of Family and Community Medicine, University of Missouri-Columbia School of Medicine, USA
Mo Med 103:180-4. 2006..quot;Reliance on respected colleagues for advice" was the one variable consistently identified as a predictor of guideline compliance... - Building the research culture of family medicine with fellowship trainingShannon K Bolon
Department of Family and Community Medicine, University of Cincinnati, Cincinnati, OH 45267, USA
Fam Med 42:481-7. 2010..This study's objectives are to (1) identify fellowship programs available to family physicians, (2) explore how family medicine fellows are taught research skills, and (3) identify obstacles to enhancing research training in fellowships... - Having a usual source of care reduces ED visitsStephen M Petterson
The Robert Graham Center Policy Studies in Family Medicine and Primary Care, Washington, DC, USA
Am Fam Physician 79:94. 2009..This trend is partly due to a growing proportion of persons who lack a usual source of care. This group is increasingly likely to rely on EDs for their health care needs compared with those who have a usual source of care... - How well do family physicians manage skin lesions?Dan Merenstein
Robert Wood Johnson Clinical Scholars Program, Johns Hopkins School of Medicine, Baltimore, MD, USA
J Fam Pract 56:40-5. 2007 - A perfect storm: changes impacting Medicare threaten primary care access in underserved areasImam Xierali
Am Fam Physician 77:1738. 2008..Congress and the Executive Branch should coordinate their roles in setting Medicare payment policy, because their overlapping decisions can have additive impact... - Nonemergency medicine-trained physician coverage in rural emergency departmentsLars E Peterson
Department of Epidemiology and Biostatistics, Case Western Reserve University School of Medicine, Cleveland, Ohio 44106, USA
J Rural Health 24:183-8. 2008..The emergency department workforce is composed of a variety of physician specialties and clinicians... - The delicate task of workforce determinationSusan M Dovey
Eff Clin Pract 5:95-7. 2002 - Changes in age-adjusted mortality rates and disparities for rural physician shortage areas staffed by the National Health Service Corps: 1984-1998Donald E Pathman
Cecil G Sheps Center for Health Services Research and Department of Family Medicine, University of North Carolina, Chapel Hill, NC 27599, USA
J Rural Health 21:214-20. 2005.... - International medical graduates and the primary care workforce for rural underserved areasKenneth S Fink
Department of Family Medicine, University of North Carolina at Chapel Hill, USA
Health Aff (Millwood) 22:255-62. 2003..IMGs appear to have been no more likely than USMGs were to practice primary care in RUAs, but the distribution by specialty differs... - The family physician workforce: quality, not quantityLarry A Green
Am Fam Physician 71:2248, 2253. 2005 - Accounting for graduate medical education funding in family practice trainingFrederick M Chen
Robert Wood Johnson Clinical Scholars Program, WWAMI Rural Health Research Center, Department of Family Medicine, University of Washington, USA
Fam Med 34:663-8. 2002..Medicare provides the majority of funding to support graduate medical education (GME). Following the flow of these funds from hospitals to training programs is an important step in accounting for GME funding... - Why does a U.S. primary care physician workforce crisis matter?Robert L Phillips
Am Fam Physician 68:1494, 1496-8, 1500. 2003 - Variation in participation in health care settings associated with race and ethnicityErika B Bliss
Carolyn Downs Family Medical Center, 6726 35th Place South, Seattle, WA 98118, USA
J Gen Intern Med 19:931-6. 2004.... - Modifiable determinants of healthcare utilization within the African-American populationGeorge Rust
National Center for Primary Care, Morehouse School of Medicine, 720 Westview Drive, Atlanta, GA 30310, USA
J Natl Med Assoc 96:1169-77. 2004..Most previous studies of disparities in access to and utilization of healthcare have focused on black-white differences rather than focusing on "within-group" analysis of African Americans... - Why does a U.S. primary care physician workforce crisis matter?Robert L Phillips
Am Fam Physician 70:440, 442, 445-6. 2004 - Changing patient health-risk behavior requires new investment in primary careMartey S Dodoo
Am Fam Physician 78:924. 2008..However, implementing these interventions requires considerable practice expense. If we hope to change behavior to reduce chronic illness, the way we pay for primary care services must be modified to incorporate these expenses... - Medicare's (un)sustainable growth rateSteven Wilk
Community Physicians of Indiana, Fishers, Ind, USA
Fam Pract Manag 15:9-10. 2008 - Geographic retrofitting: a method of community definition in community-oriented primary care practicesFitzhugh Mullan
Department of Prevention and Community Health, The George Washington University School of Public Health and Health Services, Bethesda, MD 20814, USA
Fam Med 36:440-6. 2004..It also demonstrates how this approach, used in conjunction with geographic information systems software, facilitates more-powerful capabilities in community characterization and intervention... - A study of closure of family practice residency programsEnglish H Gonzalez
Family Practice Residency Program, Medical Center East, Birmingham, AL 35215, USA
Fam Med 35:706-10. 2003..This number represents a significant increase in the rate of program closure over previous years... - Health care system and insurer support for smoking cessation guideline implementationTamara T Stone
Department of Health Management and Informatics, University of Missouri-Columbia, USA
J Health Care Finance 29:78-86. 2002..Thus, the fundamental issue that requires national attention is that successful guideline implementation is highly dependent on administrative supports from health care organizations and insurers... - Will patients find diversity in the medical home?Eddie J Turner
Am Fam Physician 78:183. 2008..To assure the availability of a patient-centered medical home for all Americans, policy makers must work to support a culturally competent and diverse primary care workforce... - A string of mistakes: the importance of cascade analysis in describing, counting, and preventing medical errorsSteven H Woolf
Department of Family Medicine, Virginia Commonwealth University, Richmond, VA, USA
Ann Fam Med 2:317-26. 2004..We sought to determine whether cascade analysis is of value in clarifying the epidemiology and causes of errors and whether physician reports are sensitive to the impact of errors on patients... - The US Medical Liability System: evidence for legislative reformJanelle Guirguis-Blake
Tacoma Family Medicine Residency Program, Department of Family Medicine, University of Washington, Seattle, Wash 98405, USA
Ann Fam Med 4:240-6. 2006..The National Practitioner Data Bank (NPDB) offers an opportunity to evaluate the effects of previous malpractice tort reforms on malpractice payments and premiums... - National Health Service Corps staffing and the growth of the local rural non-NHSC primary care physician workforceDonald E Pathman
Program on Health Professions and Primary Care, Cecil G Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA
J Rural Health 22:285-93. 2006.... - Training on the clock: family medicine residency directors' responses to resident duty hours reformLars E Peterson
Department of Epidemiology and Biostatistics, Case Western Reserve University School of Medicine, Cleveland, OH, USA
Acad Med 81:1032-7. 2006..Innovations for increasing the effectiveness of teaching may ultimately compensate for lost educational time. If not, alternatives such as extending the length of residency must be considered... - Cost-effective roles for nurse practitioners in secondary preventionRobert L Phillips
BMJ 330:E357-8. 2005 - Using the ecology model to describe the impact of asthma on patterns of health careBarbara P Yawn
Department of Research, Olmsted Medical Center, Rochester, MN 55904, USA
BMC Pulm Med 5:7. 2005..The ecology of medical care model may provide a useful framework to describe the use of health services in people with asthma compared to those without asthma and identify subgroups with apparent gaps in care... - Patients' beliefs about racism, preferences for physician race, and satisfaction with careFrederick M Chen
Center for Primary Care, Prevention, and Clinical Partnerships, Agency for Healthcare Research and Quality, Rockville, MD, USA
Ann Fam Med 3:138-43. 2005..Few studies have attempted to link patients' beliefs about racism in the health care system with how they use and experience health care... - Making choices about the scope of family practiceRobert L Phillips
J Am Board Fam Pract 15:250-4. 2002 - The continuity of care recordDavid C Kibbe
Am Fam Physician 70:1220, 1222-3. 2004 - Physician distribution and access: workforce prioritiesXingyou Zhang
Am Fam Physician 77:1378. 2008..Policy options for recruiting and retaining primary care physicians to HPSAs, and new HPSA criteria that support access to primary care practices, should be considered... - Giving everyone the health of the educated: an examination of whether social change would save more lives than medical advancesSteven H Woolf
Department of Family Medicine, Virginia Commonwealth University, Richmond, VA 23298 0251, USA
Am J Public Health 97:679-83. 2007..We examined whether correcting the social conditions that account for excess deaths among individuals with inadequate education might save more lives than medical advances (e.g., new drugs and devices)...
Research Grants
- Harmonizing Data Standards for Primary CareRobert Phillips; Fiscal Year: 2007..This conference will specifically consider how primary care data, captured in a relevant classification scheme, can be analyzed to monitor and provide information about the health of the public and of communities. ..