• Annals of family medicine · Aug 2019

    Clinicians' Overestimation of Their Geographic Service Area.

    • Robert M Rock, Winston R Liaw, Alex H Krist, Sebastian Tong, David Grolling, Jennifer Rankin, and Andrew W Bazemore.
    • Montefiore Medical Center, Department of Family and Social Medicine, Bronx, New York robertmichaelrock@gmail.com.
    • Ann Fam Med. 2019 Aug 12; 17 (Suppl 1): S63-S66.

    AbstractIn this study, we evaluated family physicians' ability to estimate the service area of their patient panel-a critical first step in contextual population-based primary care. We surveyed 14 clinicians and administrators from 6 practices. Participants circled their estimated service area on county maps that were compared with the actual service area containing 70% of the practice's patients. Accuracy was ascertained from overlap and the amount of estimated census tracts that were not part of the actual service area. Average overlap was 75%, but participants overestimated their service area by an average of 166 square miles. Service area overestimation impedes implementation of targeted community interventions by practices.© 2019 Annals of Family Medicine, Inc.

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