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Rural primary care physicians are committed to professionalism, quality improvement
Date:2/20/2014

shoulder a disproportionate cost burden compared with urban physicians."

Although both urban and rural physicians agreed on the importance of reporting colleagues who were incompetent or in some way impaired, rural physicians were significantly more likely to indicate actually knowing about such individuals. Similar percentages of both rural and urban doctors felt prepared to deal with impaired or incompetent colleagues. Rural physicians were more likely to report having fulfilled patient requests for brand-name drugs when less expensive generics were available a common measure of wasteful medical practice and were less likely to feel prepared to evaluate new medical information.

"Our findings suggest a deep and broad agreement among primary care physicians on the key tenets of medical professionalism, regardless of the location of their practices," says Campbell. "However we are concerned that, while rural physicians are more likely to know an impaired physician, most of them do not feel prepared to deal with such colleagues. Although rural physicians were more likely to talk to their patients about the costs of their care, they may not be as drug-cost-conscious as they could be. And many don't feel prepared to evaluate new clinical information. We need to further explore the implications of these findings, particular since a significant number of the patients enrolling in new ACA-sponsored health plans will be from rural areas."


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Contact: Sue McGreevey
smcgreevey@partners.org
617-724-2764
Massachusetts General Hospital
Source:Eurekalert

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