Disparities in Quality of Primary Care by Resident and Staff Physicians: Is There a Conflict Between Training and Equity?

ABSTRACT:

Background

Outpatient primary care experience is vital to internal medicine resident training but may impact quality and equity of care delivered in practices that include resident physicians. Understanding whether quality differences exist among resident and staff primary care physicians (PCPs) may present an opportunity to address health disparities within academic medical centers.

Objective

To determine whether there are differences in the quality of primary care provided by resident PCPs compared to staff PCPs.

Design

A retrospective cohort study with a propensity-matched analysis.

Participants

143,274 patients, including 10,870 patients managed by resident PCPs, seen in 16 primary care practices affiliated with an academic medical center.

Main measures<

SUBMITTER: Essien UR 

PROVIDER: S-EPMC6614525 | biostudies-literature | 2019 Jul

REPOSITORIES: biostudies-literature