TABLE 3

Clinical Practice Characteristics of Respondents Who Reported Treating DBP Patients

SpecialtyAll 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)
FTE0.9 (0.4)0.9 (0.3)1.0 (0.5)0.9 (0.5)
Hours per wk48.0 (15.1)47.7 (14.8)49.0 (16.2)40.3 (11.4)
Half-day sessions per wk5.1 (2.9)5.1 (2.8)5.2 (3.2)4.1 (2.8)
New DBP visits per wk6.2 (7.5)6.2 (4.9)6.2 (12.7)4.5 (3.9)
Return DBP visits per wk15.5 (14.0)14.9 (11.7)17.3 (19.4)17.6 (15.3)
No. engaged in primary careN = 151 (32%)N = 77 (21%)N = 74 (64%)N = 39 (37%)
% of time in primary carea55.0 (38.0)40.8 (34.8)69.7 (35.6)65.5 (31.8)
No. engaged in specialty careN = 408 (86%)N = 343 (96%)N = 65 (56%)N = 86 (82%)
% of time in specialty careb90.8 (21.0)93.1 (18.7)78.7 (27.6)85.5 (25.3)
Time spent in new and return visits, min
 Initial visit billable83.8 (50.5)91.2 (47.7)61.1 (52.0)68.1 (33.9)
 Initial visit nonbillable50.6 (47.6)55.3 (51.0)36.0 (31.0)36.3 (31.0)
 Return visit billable39.7 (26.9)43.0 (28.6)29.3 (17.1)40.0 (34.6)
 Return visit nonbillable22.8 (21.8)23.8 (21.9)19.6 (21.2)25.4 (38.3)
Time to new, nonurgent appointmentN (%)N (%)N (%)N (%)
 Same day22 (4.7)9 (2.5)13 (11.5)10 (10)
 >8 up to 16 wk to new appointment100 (21.3)87 (24.4)13 (11.5)15 (15)
 >16 wk to new appointment136 (29.0)129 (36.2)7 (6.2)15 (15)
Constraints to seeing more patients
 Administrative duties174 (37)140 (39)34 (29)23 (22)
 Paperwork300 (63)244 (68)56 (48)48 (46)
 Teaching and/or research164 (34)141 (39)23 (20)20 (19)
 Telephone consultations108 (23)83 (23)25 (22)25 (24)
 Inadequate reimbursement167 (35)130 (36)37 (32)32 (31)
 Clinical complexity221 (46)174 (48)47 (40)57 (54)
 Lack of training33 (7)8 (2)25 (22)24 (23)
 Lack of clinical support by other professionals219 (46)169 (47)50 (43)54 (51)
 RVU or billing expectations131 (28)101 (28)30 (26)45 (43)
 Set appointment time slots120 (25)85 (24)35 (30)46 (44)
Plan to fully or partially retire in next 3–5 y158 (34)112 (32)46 (41)19 (19)
  • Missing values are excluded from the calculation of percentages. RVU, Relative Value Unit.

  • a Among those engaged in primary care.

  • b Among those engaged in specialty care.