title: Factors influencing family physicians' contribution to the child health care workforce.
abstract: OBJECTIVE
  We wanted to explore demographic and geographic factors associated with family physicians' provision of care to children.
  
  
  METHODS
  We analyzed the proportion of family physicians providing care to children using survey data collected by the American Board of Family Medicine from 2006 to 2009. Using a cross-sectional study design and logistic regression analysis, we examined the association of various physician demographic and geographic factors and providing care of children.
  
  
  RESULTS
  Younger age, female sex, and rural location are positive predictors of family physicians providing care to children: odds ratio (OR) = 0.97 (95% CI, 0.97-0.98), 1.19 (1.12-1.25), and 1.50 (1.39-1.62), respectively. Family physicians practicing in a partnership are more likely to provide care to children than those in group practice: OR = 1.53 (95% CI, 1.40-1.68). Family physicians practicing in areas with higher density of children are more likely to provide care to children: OR = 1.04 (95% CI, 1.03-1.05), while those in high-poverty areas are less likely 0.10 (95% CI, 0.10-0.10). Family physicians located in areas with no pediatricians are more likely to provide care to children than those in areas with higher pediatrician density: OR = 1.80 (95% CI, 1.59-2.01).
  
  
  CONCLUSIONS
  Various demographic and geographic factors influence the likelihood of family physicians providing care to children, findings that have important implications to policy efforts aimed at ensuring access to care for children.
authors.affiliation: The Robert Graham Center: Policy Studies in Family Medicine and Primary Care, Washington, DC.
authors.forename: Laura A
authors.initials: LA
authors.lastname: Makaroff
authors.affiliation: Association of American Medical Colleges, Washington, DC.
authors.forename: Imam M
authors.initials: IM
authors.lastname: Xierali
authors.affiliation: The Robert Graham Center: Policy Studies in Family Medicine and Primary Care, Washington, DC.
authors.forename: Stephen M
authors.initials: SM
authors.lastname: Petterson
authors.affiliation: Dartmouth Institute for Health Policy and Clinical Practice, Lebanon, New Hampshire.
authors.forename: Scott A
authors.initials: SA
authors.lastname: Shipman
authors.affiliation: The American Board of Family Medicine, Lexington, Kentucky.
authors.forename: James C
authors.initials: JC
authors.lastname: Puffer
authors.affiliation: The Robert Graham Center: Policy Studies in Family Medicine and Primary Care, Washington, DC policy@aafp.org.
authors.forename: Andrew W
authors.initials: AW
authors.lastname: Bazemore
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D002648:Child; D002654:Child Care; D016001:Confidence Intervals; D003430:Cross-Sectional Studies; D005194:Family Practice / Q000458:organization & administration*; D005260:Female; D019538:Health Care Surveys; D006801:Humans; D007400:Interprofessional Relations; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D020380:Needs Assessment; D016017:Odds Ratio; D010372:Pediatrics / Q000458:organization & administration*; D010821:Physicians, Family / Q000706:statistics & numerical data; D010818:Practice Patterns, Physicians' / Q000639:trends*; D012307:Risk Factors; D014481:United States
keywords: children; family physicians; pediatrics; workforce