USA
Population, (2017): 325.7 M
Income per Capita, (2018): 59531.66 US
Percentage of GDP on healthcare, (2015): 16.84%
training
Year Family Medicine was Established: 1968 (AAFP Foundation)
Length of Medical School: 4 years (Stanford Medicine)
Length of Training Program: 3 years (USA Health)
Type of Training: Residency (USA Health)
Number of Institutions That Offer Family Medicine Training: 577 institutions (AAFP)
Number of Trainees: 3000 spots each year (Porter, Sheri, 2014)
practice
Number of Family Physicians: 91.7 family physicians per 100,000 (The Otago Medical, 2017)
Number of Physicians: 271.6 physicians per 100,000 (The Otago Medical, 2017).
DALY: 13,937 per 100,000 individuals (Due to all Causes).
Life Expectancy:
Females 2017: 81.1 years
Males 2017: 76.1 years
Mortality rate 2017:
2017 Males: 138 per 1,000 male adults.
2017 Females: 92 per 1,000 female adults.
Infant Immunization-HepB3: % of 1-year-old children received: 93%
College of Family Physicians (Y or N):
Yes: AAFP
Healthcare System
The healthcare system in the USA is predominantly run by the private sector. It is delivered privately and more often than not, it is also financed privately (DPEAFLCIO). Unfortunately, the actual numbers couldn’t be found, but healthcare in the USA is dominated by the private sector and as a result, would have very few physicians in the public sector. Family medicine is well recognized in the States as they have numerous training programs for it. The American Academy of Family Physicians is the college that was created to oversee all the family physicians, and this was founded in 1947 (AAFP).
It has been said in the literature that overall the access to healthcare in the States is quite poor, however, this may be due to the lack of a universal government-funded health plan. It has also been explained that this poor access to healthcare may be due race, ethnicity, socioeconomic status and other social determinants of health (AHRQ & Institute of Medicine, 1993).
training
Medical training in the United States is comprised of four years of medical school (Standford Medicine), followed by 3 years of residency (USA Health). There are 577 institutions in the US that offer family medicine training (AAFP).
practice
Some other primary care deliverers other than family physicians include generalists, OB/GYNs, nurse practitioners, and physician's assistants (MedlinePlus). The role of family physicians are to be the personal doctors for everybody, regardless of age or condition. They also help patients prevent, understand, and manage illnesses, while also adapting to the patient and their community (Phillips, Robert L, et al., 2014). Family physicians are also used as gatekeepers in the States. They are gatekeepers to almost all medical resources (Forrest, Christopher B., 2003). The model of primary care that is used in community based (Phillips, Robert L, et al., 2014).
References
“About the American Academy of Family Physicians.” n.d. Accessed November 25, 2018. https://www.aafp.org/about/the-aafp/history.html.
“Home | Stanford Medicine.” n.d. Accessed November 25, 2018. http://med.stanford.edu/.
“AAIMS (All American Institue of Medical Sciences).” n.d. Accessed November 25, 2018. http://www.aaims.edu.jm/admission-requirements.php.
“AAIMS (All American Institue of Medical Sciences).” n.d. Accessed November 25, 2018. http://www.aaims.edu.jm/md-program.php.
“About the American Academy of Family Physicians.” n.d. Accessed November 25, 2018. https://www.aafp.org/about/the-aafp/history.html.
“Frequently Asked Questions -- Center for the History of Family Medicine.” n.d. Accessed November 25, 2018. https://www.aafpfoundation.org/foundation/chfm/about/faqs.html#residency
“Index -- AAFP.” n.d. Accessed November 25, 2018. https://nf.aafp.org/Directories/Residency/Search.
“Overview of Quality and Access in the U.S. Health Care System | Agency for Healthcare Research & Quality.” n.d. Accessed December 2, 2018. https://www.ahrq.gov/research/findings/nhqrdr/nhqdr16/overview.html.
“The U.S. Health Care System: An International Perspective — DPEAFLCIO.” n.d. Accessed December 2, 2018. https://dpeaflcio.org/programs-publications/issue-fact-sheets/the-u-s-health-care-system-an-international-perspective/.
Services, Institute of Medicine (US) Committee on Monitoring Access to Personal Health Care, and Michael Millman. 1993. “Introduction.” https://www.ncbi.nlm.nih.gov/books/NBK235885/.