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Solo physicians and group practices were then separately randomized to receive 4 monthly reminders to have their patients immunized.
In recent statements, CMS has affirmed it is looking for ways to help solo physicians and small groups adapt to MACRA, including making $100 million available for technical support.
This move has also been supported by physician organizations to prevent burnout of solo physicians [ 5].
The practices range from solo physicians to very large multi-specialty groups that use LabCorp as a laboratory provider.
Rural EDs in Québec are staffed by relatively new graduates working as solo physicians in well-resourced and moderately busy (by rural standards) EDs.
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This process Sangari likens to the clinical practice of a solo physician: substitute a thermometer and stethoscope for the blackboard and chalk-doctoring minus the nurses and orderlies, the four-star medical facilities, the sophisticated drugs and so on, that make modern medicine the miracle it is.
Almost all EDs were staffed by a solo physician.
It is unlikely that a solo physician with a receptionist and one other team member can adequately be accountable for the full spectrum of social and health needs of a respective community as defined as the duty of primary care services [ 1, 3, 7– 9, 30, 31].
While there are some risks involved in the team-based approach, including a patient perception of fragmented or poorly-coordinated care [ 35], team-based care as posited in Wagner's Chronic Care model should provide better quality of care and patient satisfaction than the traditional solo physician model [ 36, 37].
For example, provider participants noted the difficulty of engaging solo practice physicians in new initiatives, claiming that physicians working as part of a FHT were much easier to keep informed.
Nor is the bill aimed at protecting solo practitioner physicians, a more reasonable concern.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com