Popover Jesse L, Jones Trevor, Kalathia Chris, Mackey Alexandra, King Nathalie, Sardzinski Emily, Oulton Zachary, Imam Adnan, Al-Masri Majd, Toomey Paul G
Florida Surgical Specialists, Bradenton, FL.
JSLS. 2025 Apr-Jun;29(2). doi: 10.4293/JSLS.2025.00012. Epub 2025 May 13.
A common perception is that physician-owned practices are in decline in the United States. However, there has been a lack of recent academic research to comprehensively characterize these trends. Our aim is to assess the current trends in physician employment over the last 2 decades to assess the interplay between private practices and hospital employment.
We analyzed data from the United States Census Bureau's Statistics of U.S. Businesses (SUSB) and the Bureau of Labor Statistics' Occupational Employment and Wage Statistics (OEWS). Industry classifications were defined under the North American Industry Classification System.
In 2022, the United States had 760,000 physicians, a 22% increase over the past decade. Hospital employment rose by 33%, while private medical practices grew by 17%. Currently, 55% of physicians work in private practices, down 3% from a decade ago, and 27% are hospital employed, up from 25% from a decade ago. Government employment decreased from 14% in 2013 to 12%. University employment remained stable (3%). There were 213,000 private medical practices in 2020, with 73% being small practices. There has been an increase in large practices(≥50 employees), while small practices (<50 employees) decreased by 16% over 2 decades.
Private practices continue to be the dominant employment for physicians. Hospital employment over the last decade increased to just over one-quarter of employed physicians. Small private practices continue to be the most common type of private practice, despite an increase in larger private practices over the last decade.
人们普遍认为美国医生拥有的诊所数量在减少。然而，近期缺乏全面描述这些趋势的学术研究。我们的目的是评估过去20年医生就业的当前趋势，以评估私人诊所与医院就业之间的相互作用。
我们分析了美国人口普查局的美国企业统计数据（SUSB）和劳工统计局的职业就业与工资统计数据（OEWS）。行业分类是根据北美行业分类系统定义的。
2022年，美国有76万名医生，比过去十年增加了22%。医院就业增长了33%，而私人医疗诊所增长了17%。目前，55%的医生在私人诊所工作，比十年前下降了3%，27%受雇于医院，高于十年前的25%。政府部门就业从2013年的14%降至12%。大学就业保持稳定（3%）。2020年有21.3万家私人医疗诊所，其中73%是小诊所。大型诊所（≥50名员工）有所增加，而小诊所（<50名员工）在20年里减少了16%。
私人诊所仍然是医生就业的主要形式。过去十年中，医院就业人数增加到受雇医生总数的略超过四分之一。尽管过去十年大型私人诊所有所增加，但小型私人诊所仍然是最常见的私人诊所类型。
