The changing face of access to family physician services in rural Florida

Nir Menachemi, Curtis Stine, Art Clawson, Robert G. Brooks

Research output: Contribution to journalReview article

7 Citations (Scopus)

Abstract

Objectives: This study's purpose was to determine whether access to services performed by Florida family physicians in rural areas is changing and whether the recent changes in the availability or cost of professional liability insurance may be influencing service provision. Methods: We conducted a survey of all family physicians in rural Florida, asking about changes in health care services and procedures provided, insurance coverage and premiums, satisfaction with practice, and plans for future practice. Results: Of the 204 respondents, 96 (49.5%) indicated that they have decreased or eliminated some health care services during the last year. Overall, 69.8% decreased or eliminated vaginal deliveries, 66.2% Cesarean sections, 56.6% endoscopies, 50.9% hospital-based surgeries, 50.7% emergency room coverage, 40.8% office-based surgeries, and 33.6% mental health services. Malpractice premiums increased a mean of 98.5%. Difficulty with finding or paying for insurance was listed as an important factor both by those reducing or eliminating services and by those planning to leave the community within the next 2 years. Conclusions: Access to some services provided by family physicians in rural areas is decreasing and may be influenced by recent changes in professional liability insurance costs and other factors in Florida. Given the number of states currently experiencing similar insurance cost changes, access to health care in rural areas may be affected nationwide.

Original languageEnglish (US)
Pages (from-to)54-58
Number of pages5
JournalFamily Medicine
Volume37
Issue number1
StatePublished - Jan 1 2005
Externally publishedYes

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Family Physicians
Insurance
Liability Insurance
Legal Liability
Costs and Cost Analysis
Health Services
Delivery of Health Care
Health Services Accessibility
Insurance Coverage
Malpractice
Mental Health Services
Ambulatory Surgical Procedures
Cesarean Section
Endoscopy
Hospital Emergency Service
Surveys and Questionnaires

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Menachemi, N., Stine, C., Clawson, A., & Brooks, R. G. (2005). The changing face of access to family physician services in rural Florida. Family Medicine, 37(1), 54-58.

The changing face of access to family physician services in rural Florida. / Menachemi, Nir; Stine, Curtis; Clawson, Art; Brooks, Robert G.

In: Family Medicine, Vol. 37, No. 1, 01.01.2005, p. 54-58.

Research output: Contribution to journalReview article

Menachemi, N, Stine, C, Clawson, A & Brooks, RG 2005, 'The changing face of access to family physician services in rural Florida', Family Medicine, vol. 37, no. 1, pp. 54-58.
Menachemi, Nir ; Stine, Curtis ; Clawson, Art ; Brooks, Robert G. / The changing face of access to family physician services in rural Florida. In: Family Medicine. 2005 ; Vol. 37, No. 1. pp. 54-58.
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