Matthew Mackwood

US Primary Care Physician Payments for Productivity and Quality: Trends from Longitudinal National Practice Surveys

Matthew Mackwood, Minah Park, R Schmidt, Hector P. Rodriguez et autres

We conducted a retrospective cohort study of two US national surveys of primary care practice leaders about their practices’ capabilities and characteristics. Among 1959 original survey respondents sampled, 722 (37%) responded to the second survey; of these, 432 practices (60%) answered compensation …

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Transforming Rural Health: States Should Invest Federal Funds to Enhance Primary Care

Johnny Huynh, Matthew Mackwood, Carrie H. Colla

The authors declare no conflicts of interest.

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Comparing Trends in Telemedicine Use and Geographic Disparities in Utilization Among Patients With Cancer in the United States

Matthew Mackwood, Qianfei Wang, Tor D. Tosteson, Gabriel A. Brooks et autres

PURPOSE Studies have shown that rural populations were less likely than urban populations to use telemedicine during and after the COVID-19 pandemic. These trends are not well characterized nationally for patients with cancer. METHODS This cohort analysis, using 2 years of Medicare …

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Sexual Orientation– and Gender Identity–Affirming Activities Provided in Primary Care

Ellesse-Roselee Akré, Ching‐Wen Yang, Greta R. Bauer, Matthew Mackwood et autres

Importance: Addressing health disparities in lesbian, gay, bisexual, transgender, and queer (LGBTQ+) communities has been a significant policy focus for more than a decade. Ensuring access to safe, respectful primary health care from knowledgeable clinicians is crucial for reducing health inequalities. Objective: …

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Primary Care Practice Factors Associated With Telehealth Adoption in the United States: Cross-Sectional Survey Analysis

Matthew Mackwood, Elliott S. Fisher, R Schmidt, A. James O’Malley et autres

In this national study of primary care practice-level factors associated with telehealth adoption in 2022, we found that training and assisting patients with the use of telehealth, broadband expansion efforts, and a higher proportion of low-income patients were associated with higher practice-level …

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Primary care preparedness to care for patients with ADRD: A national survey study

Joseph Januszewicz, Nicole R. Fowler, Matthew Mackwood, Elliott S. Fisher et autres

INTRODUCTION: It is unknown how prepared primary care practices are to deliver recommended dementia care. METHODS: A nationally representative survey of US primary care practices focused on care delivery processes, including those for patients with Alzheimer's disease and related dementias (ADRD). RESULTS: …

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Changes in US Primary Care Access and Capabilities During the COVID-19 Pandemic

Matthew Mackwood, Elliott S. Fisher, R Schmidt, Ching‐Wen Yang et autres

Importance: Many of the capabilities needed to deliver accessible, high-quality primary care have been defined, but little is known about how their implementation has changed in US practices over the course of the COVID-19 pandemic or about the factors associated with greater …

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Primary Care Practice Factors Associated With Telehealth Adoption in the United States: Cross-Sectional Survey Analysis (Preprint)

Matthew Mackwood, Elliott S. Fisher, R Schmidt, A. James O’Malley et autres

UNSTRUCTURED In this national study of primary care practice–level factors associated with telehealth adoption in 2022, we found that training and assisting patients with the use of telehealth, broadband expansion efforts, and a higher proportion of low-income patients were associated with higher …

Safety Net Primary Care Capabilities After the COVID-19 Pandemic

Karen E. Schifferdecker, Ching‐Wen Yang, Matthew Mackwood, Hector P. Rodríguez et autres

Importance: Federally qualified health centers (FQHCs) provide care to 30 million patients in the US and have shown better outcomes and processes than other practice types. Little is known about how the COVID-19 pandemic contributed to FQHC capabilities compared with other practices. …

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Telehealth Trends and Hypertension Management Among Rural and Medicaid Patients After COVID-19

Matthew Mackwood, Oleksandra Pashchenko, Christopher Leggett, Constance P. Fontanet et autres

Objective: Examine the associations between rurality and low income with primary care telehealth utilization and hypertension outcomes across multiple years pre- and post-COVID-19 pandemic onset. Methods: We compiled electronic health record data from the mixed rural/urban Dartmouth Health system in New Hampshire, …

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Racial differences in low value care among older adult Medicare patients in US health systems: retrospective cohort study

Ishani Ganguli, Matthew Mackwood, Ching‐Wen Yang, Maia Crawford et autres

Abstract Objective To characterize racial differences in receipt of low value care (services that provide little to no benefit yet have potential for harm) among older Medicare beneficiaries overall and within health systems in the United States. Design Retrospective cohort study Setting …

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How to integrate shared decision-making into your practice

Matthew Mackwood

Despite the many benefits of shared decision-making, uptake of its practices is low. These tools and frameworks can help you to engage patients in their care decisions.

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