Direct Primary Care: Family Physician Perceptions of a Growing Model

Abstract

ABSTRACTPurposeDirect Primary Care (DPC) is a relatively new primary care practice model in which patients receive unlimited access to a defined set of primary care services in exchange for a monthly practice-specific membership fee. DPC is a bottom-up physician-driven approach that contrasts to typical top-down insurer-centric health care delivery reform efforts. The degree to which physicians are aware of this practice model and whether they believe it addresses two key challenges facing primary care, access and administrative burden, are unclear.MethodsAn online survey distributed in July 2017 gauged family physicians’ awareness of DPC and views about the model.ResultsMost respondents (85%) had heard of DPC and eight percent practiced in a DPC model at the time of the survey. In general, respondents reported that DPC can offer positive outcomes through lower administrative burden for physicians, improved doctor-patient relationships, and better access. Respondents also suggested DPC may result in improved patient health outcomes and lower overall healthcare spending. Respondents’ concerns included inappropriateness of the model for vulnerable populations and physician shortages. Survey responses differed depending on whether the respondent practiced in a DPC model; DPC physicians had a more favorable view of the model and were focused on benefits to patients rather than benefits to physicians.ConclusionsWhile some perceive challenges of DPC, others think that this model may benefit both patients and physicians.