From the Mathematica, Oakland, CA (DRR); Department of Family and Community Medicine, University of California San Francisco, San Francisco, CA (DRR); American Board of Family Medicine, Lexington, KY (AWB, ZJM, LEP); Center for Professionalism and Value in Health Care, Washington, DC (AWB); Department of Family and Community Medicine, College of Medicine, University of Kentucky, Lexington, KY (LEP).
J Am Board Fam Med. 2021 Sep-Oct;34(5):1033-1034. doi: 10.3122/jabfm.2021.05.210051.
The rise of health system and hospital ownership of primary care practices raises policy questions about the survival of independent physician-owned practices. Our data indicate that a substantial proportion of FPs in 2017-2019 remained in independently owned practice: 81% of solo practitioners and 35% of FPs in practices with 2-5 clinicians. These findings suggest that independent practice is surviving, and that it's incumbent on researchers, payers, and policymakers to better understand their unique contributions and challenges in the effort to improve primary care access, quality, and cost.
医疗机构和医院对基层医疗机构所有权的增加引发了有关独立医生所有医疗机构生存能力的政策问题。我们的数据表明,2017-2019 年仍有相当一部分家庭医生(FPs) 从事独立执业:81%的个体从业者和 2-5 名临床医生的医疗机构中 35%的 FPs。这些发现表明独立实践仍在生存,研究人员、支付者和政策制定者有责任更好地了解它们在改善初级保健服务的可及性、质量和成本方面的独特贡献和挑战。