By Amelia Sponseller, FNP-C
If you’ve been searching for a primary care provider in Scarborough recently, you have likely seen a new term pop up: direct primary care. Over the past year, four direct primary care practices have opened in Scarborough. After practicing primary care locally for 16 years in large organizations, I’m proud to be one of them. Many people have asked me what this new practice model is all about, and if it could benefit them.
Direct primary care (DPC) is an innovative healthcare model that has been gaining traction in recent years, offering a range of benefits for both patients and providers. In contrast to traditional fee-for-service models, DPC emphasizes a direct relationship between patients and their primary care providers and can lead to improved health outcomes and enhanced patient satisfaction.
Accessibility

Patients pay a monthly subscription fee (like a gym membership), which covers a wide array of services, including office visits, preventive care, and some diagnostic tests. This model eliminates the complexity of insurance billing, allowing patients to access care without worrying about co-pays or deductibles. My patients communicate directly with me via text, phone, or e-mail, instead of waiting in queues to speak with multiple staff members. As a result, patients can get advice when they need it (yes – go ahead and text me a picture of that rash!), as well as same day or next-day appointments more easily, leading to timely interventions and better management of acute and chronic conditions.
Personalized Care
In traditional models, providers often face constantly shrinking appointment time length and increased administrative tasks due to high patient volumes. DPC, however, allows for longer appointment times, fostering deeper relationships between patients and their providers. My initial visits last between 60-90 minutes. This increased interaction enables me to gain a comprehensive understanding of my patients’ health histories, lifestyles, and preferences, ultimately leading to more tailored treatment plans. Patients often report feeling more valued and engaged in their healthcare decisions, which can enhance adherence to treatment regimens.
Affordability
Cost-effectiveness is another compelling aspect of DPC. By reducing administrative burdens associated with insurance claims and focusing on preventive care, DPC can lower overall healthcare costs. Patients may save money on unnecessary tests and emergency visits, while providers can streamline their practices, allowing them to spend more time with patients rather than dealing with paperwork. This efficiency can lead to improved health outcomes, as preventive care often reduces the need for more expensive interventions down the line.
In conclusion, direct primary care presents numerous benefits, including increased accessibility, personalized attention, cost savings, and the convenience of modern healthcare delivery methods. As more patients and providers explore this model, it has the potential to transform the healthcare landscape, leading to healthier patients and more fulfilling practice environments. I welcome inquiries from those who would like to learn more about DPC, my practice and how I can meet your primary care needs.
Amelia Sponseller is a Scarborough resident, Family Nurse Practitioner, and owner of Marshview Direct Primary Care.










