Clinical Practice Characteristics of Respondents Who Reported Treating DBP Patients
| Specialty . | All Physicians (N = 475), Mean (SD) . | DBP- and/or NDD-Trained Specialty Physicians (N = 359), Mean (SD) . | Non–DBP- and/or NDD-Trained Generalist Physicians (N = 116), Mean (SD) . | NPs (N = 105), Mean (SD) . |
|---|---|---|---|---|
| FTE | 0.9 (0.4) | 0.9 (0.3) | 1.0 (0.5) | 0.9 (0.5) |
| Hours per wk | 48.0 (15.1) | 47.7 (14.8) | 49.0 (16.2) | 40.3 (11.4) |
| Half-day sessions per wk | 5.1 (2.9) | 5.1 (2.8) | 5.2 (3.2) | 4.1 (2.8) |
| New DBP visits per wk | 6.2 (7.5) | 6.2 (4.9) | 6.2 (12.7) | 4.5 (3.9) |
| Return DBP visits per wk | 15.5 (14.0) | 14.9 (11.7) | 17.3 (19.4) | 17.6 (15.3) |
| No. engaged in primary care | N = 151 (32%) | N = 77 (21%) | N = 74 (64%) | N = 39 (37%) |
| % of time in primary carea | 55.0 (38.0) | 40.8 (34.8) | 69.7 (35.6) | 65.5 (31.8) |
| No. engaged in specialty care | N = 408 (86%) | N = 343 (96%) | N = 65 (56%) | N = 86 (82%) |
| % of time in specialty careb | 90.8 (21.0) | 93.1 (18.7) | 78.7 (27.6) | 85.5 (25.3) |
| Time spent in new and return visits, min | ||||
| Initial visit billable | 83.8 (50.5) | 91.2 (47.7) | 61.1 (52.0) | 68.1 (33.9) |
| Initial visit nonbillable | 50.6 (47.6) | 55.3 (51.0) | 36.0 (31.0) | 36.3 (31.0) |
| Return visit billable | 39.7 (26.9) | 43.0 (28.6) | 29.3 (17.1) | 40.0 (34.6) |
| Return visit nonbillable | 22.8 (21.8) | 23.8 (21.9) | 19.6 (21.2) | 25.4 (38.3) |
| Time to new, nonurgent appointment | N (%) | N (%) | N (%) | N (%) |
| Same day | 22 (4.7) | 9 (2.5) | 13 (11.5) | 10 (10) |
| >8 up to 16 wk to new appointment | 100 (21.3) | 87 (24.4) | 13 (11.5) | 15 (15) |
| >16 wk to new appointment | 136 (29.0) | 129 (36.2) | 7 (6.2) | 15 (15) |
| Constraints to seeing more patients | ||||
| Administrative duties | 174 (37) | 140 (39) | 34 (29) | 23 (22) |
| Paperwork | 300 (63) | 244 (68) | 56 (48) | 48 (46) |
| Teaching and/or research | 164 (34) | 141 (39) | 23 (20) | 20 (19) |
| Telephone consultations | 108 (23) | 83 (23) | 25 (22) | 25 (24) |
| Inadequate reimbursement | 167 (35) | 130 (36) | 37 (32) | 32 (31) |
| Clinical complexity | 221 (46) | 174 (48) | 47 (40) | 57 (54) |
| Lack of training | 33 (7) | 8 (2) | 25 (22) | 24 (23) |
| Lack of clinical support by other professionals | 219 (46) | 169 (47) | 50 (43) | 54 (51) |
| RVU or billing expectations | 131 (28) | 101 (28) | 30 (26) | 45 (43) |
| Set appointment time slots | 120 (25) | 85 (24) | 35 (30) | 46 (44) |
| Plan to fully or partially retire in next 3–5 y | 158 (34) | 112 (32) | 46 (41) | 19 (19) |
| Specialty . | All Physicians (N = 475), Mean (SD) . | DBP- and/or NDD-Trained Specialty Physicians (N = 359), Mean (SD) . | Non–DBP- and/or NDD-Trained Generalist Physicians (N = 116), Mean (SD) . | NPs (N = 105), Mean (SD) . |
|---|---|---|---|---|
| FTE | 0.9 (0.4) | 0.9 (0.3) | 1.0 (0.5) | 0.9 (0.5) |
| Hours per wk | 48.0 (15.1) | 47.7 (14.8) | 49.0 (16.2) | 40.3 (11.4) |
| Half-day sessions per wk | 5.1 (2.9) | 5.1 (2.8) | 5.2 (3.2) | 4.1 (2.8) |
| New DBP visits per wk | 6.2 (7.5) | 6.2 (4.9) | 6.2 (12.7) | 4.5 (3.9) |
| Return DBP visits per wk | 15.5 (14.0) | 14.9 (11.7) | 17.3 (19.4) | 17.6 (15.3) |
| No. engaged in primary care | N = 151 (32%) | N = 77 (21%) | N = 74 (64%) | N = 39 (37%) |
| % of time in primary carea | 55.0 (38.0) | 40.8 (34.8) | 69.7 (35.6) | 65.5 (31.8) |
| No. engaged in specialty care | N = 408 (86%) | N = 343 (96%) | N = 65 (56%) | N = 86 (82%) |
| % of time in specialty careb | 90.8 (21.0) | 93.1 (18.7) | 78.7 (27.6) | 85.5 (25.3) |
| Time spent in new and return visits, min | ||||
| Initial visit billable | 83.8 (50.5) | 91.2 (47.7) | 61.1 (52.0) | 68.1 (33.9) |
| Initial visit nonbillable | 50.6 (47.6) | 55.3 (51.0) | 36.0 (31.0) | 36.3 (31.0) |
| Return visit billable | 39.7 (26.9) | 43.0 (28.6) | 29.3 (17.1) | 40.0 (34.6) |
| Return visit nonbillable | 22.8 (21.8) | 23.8 (21.9) | 19.6 (21.2) | 25.4 (38.3) |
| Time to new, nonurgent appointment | N (%) | N (%) | N (%) | N (%) |
| Same day | 22 (4.7) | 9 (2.5) | 13 (11.5) | 10 (10) |
| >8 up to 16 wk to new appointment | 100 (21.3) | 87 (24.4) | 13 (11.5) | 15 (15) |
| >16 wk to new appointment | 136 (29.0) | 129 (36.2) | 7 (6.2) | 15 (15) |
| Constraints to seeing more patients | ||||
| Administrative duties | 174 (37) | 140 (39) | 34 (29) | 23 (22) |
| Paperwork | 300 (63) | 244 (68) | 56 (48) | 48 (46) |
| Teaching and/or research | 164 (34) | 141 (39) | 23 (20) | 20 (19) |
| Telephone consultations | 108 (23) | 83 (23) | 25 (22) | 25 (24) |
| Inadequate reimbursement | 167 (35) | 130 (36) | 37 (32) | 32 (31) |
| Clinical complexity | 221 (46) | 174 (48) | 47 (40) | 57 (54) |
| Lack of training | 33 (7) | 8 (2) | 25 (22) | 24 (23) |
| Lack of clinical support by other professionals | 219 (46) | 169 (47) | 50 (43) | 54 (51) |
| RVU or billing expectations | 131 (28) | 101 (28) | 30 (26) | 45 (43) |
| Set appointment time slots | 120 (25) | 85 (24) | 35 (30) | 46 (44) |
| Plan to fully or partially retire in next 3–5 y | 158 (34) | 112 (32) | 46 (41) | 19 (19) |
Missing values are excluded from the calculation of percentages. RVU, Relative Value Unit.
Among those engaged in primary care.
Among those engaged in specialty care.