August 4, 2026 · Journal of general internal medicine · DOI: 10.1007/s11606-026-10674-2

Changes in the Composition and Affiliation of the US Primary Care Workforce and Ownership of Primary Care Clinical Sites, 2020-2023

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The authors aim to describe changes in the US primary care (PC) workforce and ownership of clinical sites from 2020 to 2023, highlighting the implications for healthcare access and quality. They found a 7% growth in the PC workforce, primarily driven by health systems and corporations, while the number of independent and rural PC sites declined. This consolidation raises concerns about access to primary care, particularly in underserved areas.

Lingrui Liu, Robert L Phillips, Jesse C Crosson

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