Relationships Matter: How Usual is Usual Source of (Primary) Care?

2022 PCC Evidence Report

The Report examines the current state of primary care in the U.S. and provides recommendations for improving patient access to primary care clinicians. Specifically, the Report provides an in-depth analysis of the role of relationships from a consistent and familiar source, often primary care, and reports troubling trends. Relationships matter because a usual source of care is associated with better patient quality and satisfaction, enhanced equity, and lower costs.

Download the 2022 Evidence-Based Report

More Americans lack a consistent source of health care – most often primary care – despite the pandemic, which does not bode well for Americans’ future overall health. Persistent differences between racial/ethnic groups in usual source of care (USC) are likely contributors to ongoing health disparities, made worse by the COVID-19 pandemic. This comprehensive report puts USC data from 2000-2020 in context and examines trends by age, demographic group, insurance product, and geography. The USC metric matters because a usual source of care is associated with better population health, more equity, and lower costs.

Full Report

Executive Summary

The Executive Summary provides an overview of the 2022 PCC Evidence-Based Report. This concise document summarizes the qualitative and quantitative findings.

Executive Summary





Evidence Report Release Event & Briefing

Below is the recording of the online release event for the the report, which was held on November 16, 2022.




Special thanks

The Primary Care Collaborative is grateful to the AAFP Robert Graham Center, for its partnership in preparing this year's report.

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