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Issues And Trends In Healthcare Delivery System

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The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
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Updated: Oct 8, 2025

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction

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Current trends in U.S. general surgery practice consolidation.

Scott T Anderson¹, Jacob B Hammond², Jacob S Hogan³

¹Mayo Clinic Alix School of Medicine, Mayo Clinic, Scottsdale, AZ, USA.

American Journal of Surgery

|December 28, 2021

Summary

This summary is machine-generated.

General surgery practices are consolidating significantly, mirroring broader healthcare trends. The number of unique general surgery practices decreased by 21% from 2012 to 2020.

Keywords:

Consolidation General surgery Health economics Practice size Practice trends

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Area of Science:

Healthcare Management
Surgical Practice Analysis

Background:

Physician practice consolidation is a known trend across medicine.
Limited data exist on consolidation specifically within general surgery practices.

Purpose of the Study:

To evaluate current trends in general surgery practice consolidation.
To analyze the extent of consolidation in general surgery over time.

Main Methods:

Utilized data from the CMS Physician Compare database (2012-2020).
Categorized surgeons and practices by size.
Analyzed consolidation trends using the Cochran-Armitage test, stratified by US region.

Main Results:

General surgeon numbers increased slightly (+3%), but unique practices declined significantly (-21%).
Surgeons in smaller practices (1-2 surgeons) decreased from 19% to 12%.
Surgeons in large group practices (500+ surgeons) increased from 20% to 31%, indicating substantial consolidation. The Midwest showed the highest consolidation.

Conclusions:

General surgery is undergoing significant practice consolidation.
This trend aligns with overall consolidation patterns observed in the broader medical field.