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Defending the solo and small practice neurologist
Elaine C Jones1, David A Evans1
1Bristol, RI (ECJ) and Dallas, TX (DAE).
Neurology. Clinical Practice
|February 15, 2018
Summary
Physician practice settings are shifting due to healthcare changes. Independent private practices face challenges, necessitating a focus on business and clinical metrics for survival.
Area of Science:
- Medical practice management
- Healthcare policy analysis
Background:
- Physician practice landscapes are significantly impacted by evolving healthcare.
- In 2005, 55%-70% of physicians were in small/solo practices, with 70% identifying as owners.
Purpose of the Study:
- To analyze the impact of healthcare changes, particularly the Affordable Care Act (ACA), on physician practice settings.
- To highlight the challenges faced by solo and small practices.
Main Methods:
- Analysis of National Center for Health Statistics (NCHS) data from 2005.
- Review of post-Affordable Care Act (ACA) surveys on neurologists and family physicians.
- Inclusion of data from The Physicians Foundation survey.
Main Results:
- Since the ACA's passage in 2010, neurologists show an 8% rise in academic settings and a decrease in private/solo practices.
- 60% of family physicians are now hospital or group employees.
- 89% of physicians view independent private practice as unsustainable.
Conclusions:
- The traditional independent private practice model is declining.
- Solo and small practices must prioritize business and clinical metrics to navigate ongoing healthcare reforms.
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