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Related Experiment Videos

Change is inevitable--is it acceptable?

W T Fischer

    College Review (Denver, Colo.)
    |March 6, 1987
    PubMed
    Summary
    This summary is machine-generated.

    A group of ophthalmologists faced challenges to their practice

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    Area of Science:

    • Ophthalmology Practice Management
    • Healthcare Administration
    • Group Practice Dynamics

    Background:

    • Three successful solo ophthalmology practices merged into a single group practice.
    • The group practice initially flourished, expanding its physician and staff base over its first decade.
    • Post-ten-year anniversary, internal cohesion declined, impacting practice viability and compensation structures.

    Purpose of the Study:

    • To explore the challenges encountered in maintaining group cohesiveness within a growing ophthalmology practice.
    • To understand the factors contributing to the disruption of practice viability and compensation basis.
    • To identify strategies employed by the group to navigate internal resistance and ensure survival.

    Main Methods:

    • Qualitative analysis of practice evolution and internal dynamics.

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  • Examination of changes in compensation structures and their impact.
  • Case study approach focusing on the group's survival strategies.

    • Main Results:

    • Compensation basis and practice viability became contentious issues.
    • Changes to the salary formula were necessary but met with resistance.
    • The group's ability to adapt and manage internal conflict was crucial for its survival.

    Conclusions:

    • Maintaining group practice cohesiveness requires proactive management of compensation and structural changes.
    • Addressing physician and staff resistance is key to navigating practice transitions.
    • Successful adaptation to evolving internal dynamics is essential for long-term group practice viability.