CureusCurrent State of Pediatric Direct Primary Care: A National Cross-Sectional Survey of Pediatricians

This national cross-sectional survey evaluates pediatricians’ awareness, perceptions, and adoption of the Direct Primary Care (DPC) model. The study uses descriptive statistics and thematic analysis to assess responses from 241 pediatricians, offering moderate-level evidence on practice trends and barriers.

⚕️ Key Clinical Considerations ⚕️

• Adoption Rate: Only 5.4% of surveyed pediatricians currently practice in a DPC model, indicating limited uptake despite growing interest.
• Awareness Gap: 36% of respondents were unfamiliar with DPC, highlighting a significant knowledge gap among pediatricians.
• Perceived Benefits: Respondents cited improved patient relationships (83%) and reduced administrative burden (78%) as key advantages of DPC.
• Barriers to Adoption: Major concerns included financial sustainability (71%) and lack of institutional support (64%).
• Training Deficit: Only 12% reported receiving any formal education or training on DPC during medical school or residency.

🎯 Clinical Practice Impact 🎯

• Patient Communication: Pediatricians in DPC models report more time for patient education and relationship-building, enhancing trust and satisfaction.
• Practice Integration: Transitioning to DPC requires restructuring billing, staffing, and patient panel sizes—often challenging in large systems.
• Risk Management: Lack of insurance billing may reduce audit risk but introduces new legal and financial uncertainties.
• Action Items: Increase DPC exposure in pediatric training programs; develop toolkits for transitioning practices; advocate for policy support.
• Resource Implications: Practices must evaluate local demand, pricing models, and sustainability before adopting DPC.

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