7 tips on how to choose a primary care physician
- There are seven different types of doctors that have the ability to deliver primary care procedures such as internists, geriatricians, nurse practitioners, and more. To learn more about those doctors and their specialties, read this section.
- Health insurance providers often compile a list of eligible PCPs and practices that are included in their member’s plans. This is important to consider because choosing a primary care physician that is out-of-network can be expensive and inconvenient. To learn more about different types of health insurance plans and what they require, read this section.
- There are a number of different factors to consider when searching for a primary care physician, such as location, eligibility, personal care needs, and more. To learn about other questions to ask and different facets to consider, read this section.
The U.S. Department of Health Resources and Services Administration (HRSA) predicts that by the end of 2020, there will be 220,800 primary care physicians providing care. This means, for patients, choosing a new primary care physician presents a number of options to choose from, leading to a variety of steps a patient can take to discover which physician and primary care practice is best for them.
Tip #2: Know who provides primary care.
There are a variety of providers that practice primary care, with each specializing in different kinds of care but all having the sole goal of facilitating a relationship with the patient. The sentiment behind this is that as the PCP and their care team get to know a patient and their medical history, the more thorough the care becomes. The most common PCP specialities to choose from are family practitioners, pediatricians, geriatricians, internists, and gynecologists.
- Family Practitioner: A ‘family physician’ or ‘family doctor’ is certified to care for people of all ages (infant to elderly), which is why they are commonly recommended for families. Prior to becoming certified, a family medicine doctor completes a family practice residency and goes through proceedings to become board-eligible.
- Internist: One of the most common primary care physicians is a doctor that specializes in internal medicine and is known as an ‘internist’ or an ‘internal medicine physician.’ After completing a residency in internal medicine and becoming board-eligible, an internal medicine doctor is certified to care for adults at any age.
- Geriatrician: A geriatrician specializes in providing aid to elderly patients who may be experiencing medical issues related to aging. According to the American Geriatrics Society, about 30% of people over 65 need geriatric care, and according to the American Association of Retired Persons(AARP), it’s common for a patient to see a geriatric doctor in addition to their PCP. Geriatric doctors become certified after completing a residency in family medicine or internal medicine and becoming board-eligible. For more information on geriatric care, visit this resource.
- Pediatrician: A pediatric doctor is certified to provide primary care services to children from their birth into adulthood. However, once a child becomes a legal adult at 18, they can no longer receive care within pediatrics; instead, they must switch to another PCP such as an internist or family physician. Depending on the primary care practice, a child who is enrolled in college may be able to see their pediatrician up until the age of 21. Pediatric doctors become certified after completing a pediatric residency and becoming board-eligible.
- Gynecologist: A gynecologist is a PCP that practices specialized care in gynecological medicine after completing a gynecological residency and becoming board-eligible. This practice primarily provides specialty care to patients who are women, and often, a patient sees their OB-GYN in addition to their primary care doctor. The American College of Obstetricians and Gynecologists (ACOG) recommends that a girl should begin seeing an OB-GYN between the ages of 13 and 15.
Note: Primary care physicians are M.D.s (Doctor of Medicine), while others are D.O.s (Doctor of Osteopathic Medicine), Nurse Practitioners, or Physician Assistants. Although D.O.s undergo extra training on specialized knowledge of the body’s structural or musculoskeletal system (nerves, muscles, and bones), it is commonly noted that “In modern healthcare, there isn’t much practical difference between a D.O. and an M.D.” For more information on the differences between an M.D. and a D.O., visit this resource. These providers are commonly known for providing patients with routine check-ups and keeping up to date with preventive care procedures such as shots, vaccine boosters, etc. For a comprehensive list of what check-ups are required based on a patient’s age range and gender, visit this resource.
Find A Primary Care Doctor
The two most common insurance plans are Health Maintenance Organization (HMO) plans and Preferred Provider Organization (PPO) plans. An HMO insurance plan requires that its members have a primary care provider to manage their care, but since they are connected to a network of service providers, only select PCPs are available for members to choose from. HMO plans also require that their members remain in-network for care unless they receive a referral from their PCP or have an emergency situation. It’s not necessary for a member to have a PCP with a PPO insurance plan, but if they choose to have one, it’s less expensive to choose a provider that’s in the plan’s network vice an out-of-network provider. Medicare and Medicare Advantage plans that are available for most Americans ages 65 and older and operate in the same way as general HMO and PPO plans. Medicare HMO plans require a primary care provider, while Medicare PPO plans do not.
Don’t hesitate to reach out to an insurance provider directly via email or telephone to inquire more about which PCPs and practices are covered by their plan.
Tip #4: Gather information from healthcare databases.
There are a plethora of healthcare databases available such as the American Medical Association’s Doctor Finder website, the list of directories from MedlinePlus, and the Medicare Physician Compare tool for patients who have Medicare insurance plans. While these websites and databases may not provide specific, individual doctors, they narrow down the search and compile a list of primary care providers in a patient’s community.
Tip #5: Ask family and friends for recommendations.
There is no better recommendation than one that’s word-of-mouth. When searching for a new PCP, ask family and friends if they recommend anyone in the area or how they went about finding their doctor. Ask them about their experiences, positive and negative, with certain doctors found during research to gather personalized information on the doctor’s background prior to making an appointment.
Tip #6: Compile a list of potential doctors.
Writing down a list of potential doctors, where their practices are located, and what they specialize in will help a lot when trying to narrow down which PCP will be the best fit. It allows the patient to come back to a comprehensive page of research where they can compare and analyze each doctor.
Tips for narrowing down your list of potential doctors:
Once a patient has found a few potential doctors, it’s important to investigate them and narrow down the list to one healthcare provider who appears to be the best fit.
Tip #7: Call their office.
Many say that the best way to get to know a doctor’s practice is by calling their office and hearing how their staff treats potential new patients. For example, if their team is abrupt and impatient, their practice may not be the best to visit. While on the phone, it’s good for a patient to ask questions about their potential doctor and what their availability is like so they can gauge the doctor’s background and how the patient will fit in with their practice.
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