Fogel Alexander L, Hogan Sara, Dover Jeffrey
Department of Dermatology, Yale University School of Medicine, New Haven, Connecticut.
Division of Dermatology, University of California Los Angeles, Los Angeles, California.
Dermatol Surg. 2022 Mar 1;48(3):339-343. doi: 10.1097/DSS.0000000000003363.
While there has been substantial investment in dermatology by private equity (PE), the relevance of this trend to the dermatologic surgeon has not been assessed.
The literature on PE investment in medicine was reviewed to provide interdisciplinary data relevant to the dermatologic surgeon.
The PubMed database was queried for all peer-reviewed articles containing the term "private equity" and identified 70 unique articles across 18 medical specialties, comprising 20 original research articles and 50 commentary articles.
Significant PE growth across multiple medical specialties occurred in the 2010s. Private equity ownership was associated with higher levels of nonphysician providers relative to physicians. Pooled data suggest that PE ownership is associated with lower staffing levels, particularly for non-revenue-generating staff, as well as potentially lower levels of medical supplies on hand. Data on financial performance suggests that PE-ownership results in higher profits, revenues, and costs. Surveys of physicians demonstrate concern about autonomy, ethics, and career prospects.
For the dermatologic surgeon, issues related to consolidation, provider scope of practice, support staff availability, and supply management are important due to the nature of procedural intervention and the increased risk of adverse events.
虽然私募股权（PE）已对皮肤科投入了大量资金，但这一趋势对皮肤科外科医生的相关性尚未得到评估。
回顾关于私募股权对医学投资的文献，以提供与皮肤科外科医生相关的跨学科数据。
在PubMed数据库中查询所有包含“私募股权”一词的同行评审文章，共识别出18个医学专业的70篇独特文章，其中包括20篇原创研究文章和50篇评论文章。
在2010年代，多个医学专业领域的私募股权显著增长。相对于医生而言，私募股权所有权与非医生提供者的比例较高有关。汇总数据表明，私募股权所有权与较低的人员配备水平相关，尤其是对于非创收人员，以及手头潜在较低水平的医疗用品。财务绩效数据表明，私募股权所有权会带来更高的利润、收入和成本。对医生的调查显示他们对自主权、道德和职业前景感到担忧。
对于皮肤科外科医生来说，由于手术干预的性质以及不良事件风险增加，与合并、提供者执业范围、支持人员可用性和供应管理相关的问题很重要。
