HealthDay News — According to a study published in the Journal of the American Board of Family Medicine, the often quoted standard panel of 2500 patients per physician is not an appropriate ratio for primary care physicians.

Melanie Raffoul, MD, from the Robert Graham Center in Washington, DC, and colleagues examined the appropriateness of a panel size of 2500, which is often quoted in the literature anecdotally.

The researchers found that a panel size of 2500 was cited in an article from 2000 but was not based on data or a review of actual panel sizes. This size panel has been found to be incompatible with adequate management of chronic illness, and with provision of preventive care services. Shorter patient wait times were seen with reduced panel size, as were longer visits and enhanced overall continuity of care.

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In primary care, average panel sizes are closer to 1200 to 1900 patients per primary care physician. It is not known whether these panels are small enough to allow for optimal productivity, quality of care, and physician and patient satisfaction. Variation is likely based on patient population, practice structure, and community.

“Appropriate panel size deserves greater attention at the policy and practice levels if primary care is to function at its best for physicians and patients,” the authors write.


Raffoul M, Moore M, Kamerow D, Bazemore A. A Primary Care Panel Size of 2500 Is neither Accurate nor Reasonable. J Am Board Fam Med. 2016;29(4):496-9. doi: 10.3122/jabfm.2016.04.150317.

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