Tewfik George, Grech Dennis, Laham Linda, Chaudhry Faraz, Naftalovich Rotem
Department of Anesthesiology, Rutgers New Jersey Medical School, Newark, NJ, 07103, USA.
J Multidiscip Healthc. 2024 May 14;17:2271-2279. doi: 10.2147/JMDH.S463618. eCollection 2024.
The objective of this narrative review was to assess current literature regarding acquisition and consolidation of physician practices in the United States (US). The acquisition and consolidation of physician practices is a trend affecting patient care, quality of services, healthcare economics and the daily practice of physicians. As practices are acquired by fellow physician groups, private equity investors and entities such as hospitals or large healthcare systems, it is important to better understand the underlying forces driving these transactions and their effects. This is a narrative review of peer-reviewed publications to determine what current literature has covered regarding the acquisition and consolidation of physician practices in the US regarding risks and benefits of this trend. Sources included the SCOPUS, Medline- PUBMED and Web of Science databases. Peer reviewed publications from 2009 to 2022 were included for initial review and curation for relevance using the search terms "physician" and "practice" with either "acquisition" or "consolidation". Synthesis conducted after narrowing down of relevant articles did not use quantitative measurements, but instead examined overall trends, as well as risk and benefits of ongoing acquisition and consolidation in a narrative format. Journal articles focused on physician consolidation in the US often reported increases in physician numbers with decreases in numbers of individual practices. Private equity quantitative analyses reported rapidly accelerating acquisitions driven by these investors, and vertical integration scholarly work reported frequent geographic consolidation of nearby practitioners. Risks associated with these transactions included such items as decreased physician autonomy and higher cost of care. Benefits included practice stability, improved negotiation with insurers and improved access to resources.
本叙述性综述的目的是评估美国医生执业机构收购与整合的现有文献。医生执业机构的收购与整合是一种影响患者护理、服务质量、医疗保健经济学以及医生日常执业的趋势。随着执业机构被同行医生团体、私募股权投资者以及医院或大型医疗保健系统等实体收购，更好地理解推动这些交易的潜在力量及其影响至关重要。这是一篇对同行评审出版物的叙述性综述，以确定现有文献在何种程度上涵盖了美国医生执业机构收购与整合这一趋势的风险和益处。资料来源包括SCOPUS、Medline-PUBMED和科学引文索引数据库。纳入了2009年至2022年的同行评审出版物进行初步评审，并使用搜索词“医生”和“执业机构”以及“收购”或“整合”来筛选相关性。在筛选出相关文章后进行的综合分析未使用定量测量方法，而是以叙述形式研究总体趋势以及当前收购与整合的风险和益处。关注美国医生整合的期刊文章经常报道医生人数增加而个体执业机构数量减少。私募股权定量分析报告称，这些投资者推动的收购迅速加速，纵向整合学术研究报告称附近从业者经常进行地域整合。与这些交易相关的风险包括医生自主权降低和医疗成本增加等项目。益处包括执业稳定性提高、与保险公司谈判能力增强以及资源获取改善。
