Physicians Advocacy Institute
For over a decade, there has been a sustained trend of physicians leaving private practice for employment by corporate-owned practices, often affiliated with hospitals, health systems, health insurers and private equity firms.
PAI commissioned NORC conducted a survey of one thousand employed physicians to gain insights into the implications of this trend on care delivery, clinical decision making, physician practice administration and professional satisfaction.
Over half of employed physicians reported that changes in practice ownership reduced the quality of patient care, citing an erosion in clinical autonomy and a greater focus on financial incentives. Almost half of physicians reported a deterioration in relationship with patients, seen mainly in decreased visit time and communication. For physicians who shifted from independent medical practices, various factors including government and private insurer payment cuts, drove their decisions.
Physicians report concerning trends in care delivery, indicating reduced autonomy, strained patient relationships, and diminished communication due to ownership changes
CLINICAL DECISION MAKING
Physician responses underscore the complexities involved in making clinical decisions for their patients, including employers’ policies that influence these decisions
Two-thirds of physicians' report having little or no involvement in practice management policies
CAREER PATH & EMPLOYMENT TRENDS
Physicians who moved from independent practice to employment cited a myriad of factors that influenced their decisions with work-life balance and compensation ranking the highest