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Related Experiment Videos

Better off alone? Why physicians don't merge.

Randy R Bauman1

  • 1Delta Health Care, 783 Old Hickory Blvd., Suite 260, Brentwood, TN 37027, USA. rb@deltahealthcare.com

The Journal of Medical Practice Management : MPM
|November 3, 2007
PubMed
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Despite predictions of their demise, small medical practices remain prevalent. Many physicians continue to prefer solo or small group settings over larger healthcare organizations.

Area of Science:

  • Medical Practice Management
  • Healthcare Economics
  • Physician Workforce Studies

Background:

  • Predictions in the 1990s suggested the end of small medical practices due to healthcare reform.
  • Despite these predictions, solo and small group practices have persisted.
  • Data from 2003-2004 indicated over 35% of office-based physicians were in solo practice, with 66% in groups of five or fewer.

Purpose of the Study:

  • To examine the reasons behind the continued preference for solo and small group medical practices.
  • To understand physician resistance to joining or forming larger healthcare groups despite challenges.

Main Methods:

  • Analysis of physician practice patterns.
  • Review of data on the prevalence of different practice sizes.

Related Experiment Videos

  • Examination of factors influencing physician practice choice.

    • Main Results:

    • A significant percentage of physicians continue to work in solo or small group practices.
    • Physicians still prefer the existing structure of smaller practices.
    • Resistance to forming or joining larger groups persists.

    Conclusions:

    • Small medical practices remain a viable and preferred option for many physicians.
    • The challenges associated with small practices have not led to their widespread abandonment.
    • Physician preference for autonomy and established practice models contribute to their persistence.