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Implementing High-Quality Primary Care Rebuilding the Foundation of Health Care (2021) / Chapter Skim
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Appendix C: Committee's Calculations to Determine the Impact of the Decreased Density of Primary Care Physicians Between 2005 and 2015
Pages 409-412

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From page 409...
... IMPACT OF LOSS OF PRIMARY CARE PHYSICIANS IN RURAL COUNTIES, 2005–2015 If +10 PCPs per 100,000 population = 51.5 days of gained life per person –7 PCPs per 100,000 population = 51.5 × .7 = 36.05 days of potential life lost per person 46 million people × 36.05 days = 1,658,300,000 days of potential life lost between 2005 and 2015 409
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From page 410...
... 410 IMPLEMENTING HIGH-QUALITY PRIMARY CARE 1,658,300,000 days / 365 = 4,543,287 years of potential life lost between 2005 and 2015 4,542,287 / 10 = 454,328 years of potential life lost per year 454,328 years of lost life per year / 365 days = 1,245 years of potential life lost per day 454,328 years of life lost per year; 1,245 years of potential life lost per day If the average life expectancy is 78.6 years, 454,328/78.6 = 5,780 potential lives lost per year 1,245 per day / 78.6 = 15.84 potential lives lost per day IMPACT OF LOSS OF PRIMARY CARE PHYSICIANS IN THE UNITED STATES, 2005–2015 If +10 PCPs per 100,000 population = 51.5 days of gained life per person –5.2 PCPs per 100,000 population = 51.5 × .52 = 26.78 days of potential life lost per person 331 million people × 26.78 days = 8,864,180,000 days of potential life lost between 2005 and 2015 8,864,180,000 / 365 = 24,285,425 years of potential life lost between 2005 and 2015 24,285,425 / 10 = 2,428,543 years of potential life lost per year between 2005 and 2015 2,428,543 / 365 days = 6,654 years of potential life lost per day 2,428,543 years of potential life lost per year; if the average life expectancy is 78.6 years, 2,428,543 / 78.6 = 30,897 lives lost per year; 6,654 / 78.6 = 85 lives lost per day A typical commuter plane carries 200 passengers (180 passengers in a Boeing 757; 250 passengers in an Airbus) ; 200 passengers / 85 lives lost per day = roughly one 200-person plane crashing every 2–3 days
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From page 411...
... 2019. Association of primary care physician supply with population mortality in the United States, 2005–2015.
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Key Terms

  • potential life
  • care physicians
  • rural counties
  • life expectancy
  • life tables

  • care physician
  • national vital
  • physician supply
  • states life
  • population mortality

  • vital statistics
  • primary care
  • united states
  • gained life
  • million people

  • census bureau
  • world population
  • population clock
  • rural america
  • accessed january

  • national center
  • jama internal
  • internal medicine
  • states overall
  • health statistics


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