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Related Experiment Videos

Why do rural primary care physicians sell their practices?

Jeffrey Stensland1, Michelle Brasure, Ira Moscovice

  • 1Project HOPE, Bethesda, MD 20814, USA. jstensland@projecthope.org

The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association
|June 5, 2002
PubMed
Summary

Rural physicians are increasingly selling practices to outside buyers due to managed care, recruitment, and administrative issues. This trend is expected to continue, impacting rural healthcare accessibility.

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Area of Science:

  • Health Services Research
  • Rural Health Policy
  • Physician Practice Management

Background:

  • Rural primary care practices face unique challenges.
  • Understanding physician practice ownership changes is crucial for healthcare access.

Purpose of the Study:

  • To identify factors influencing rural primary care physicians selling their practices.
  • To analyze the destinations of sold rural practices (nonlocal buyers, local hospitals, local physicians).

Main Methods:

  • Survey of rural primary care practices in five diverse US states (1995-1998).
  • Logistic regression analysis to determine predictors of practice sales.
  • Examination of physician motivations for selling.

Main Results:

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  • Sales to nonlocal buyers constituted the majority of ownership changes.
  • Key motivations included managed care, physician recruitment challenges, and administrative burdens.
  • While income was a concern, it wasn't a significantly stronger driver than for independent practices.

Conclusions:

  • Environmental factors driving sales are unlikely to improve.
  • Continued sales of rural practices to nonlocal entities are anticipated.
  • Further research is needed on the impact on care quality and accessibility.