Physician Employment in America: Private Practices Dominate Despite Increased Hospital Employment
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View abstract on PubMed
Summary
This summary is machine-generated.Physician employment in private practices remains dominant, though hospital employment is increasing. Small private practices are most common, but larger ones are growing, indicating evolving physician practice trends.
Area Of Science
- Health Services Research
- Medical Economics
- Physician Workforce Analysis
Background
- A common perception suggests a decline in physician-owned practices in the U.S.
- Recent academic research comprehensively characterizing these trends is limited.
- Understanding physician employment shifts is crucial for healthcare system planning.
Purpose Of The Study
- To assess current trends in physician employment over the past two decades.
- To analyze the interplay between private physician practices and hospital employment.
- To characterize the evolving landscape of physician practice ownership and employment.
Main Methods
- Analysis of data from the U.S. Census Bureau's Statistics of U.S. Businesses (SUSB).
- Utilized Bureau of Labor Statistics' Occupational Employment and Wage Statistics (OEWS) data.
- Employed North American Industry Classification System (NAICS) for industry definitions.
Main Results
- Physician numbers increased 22% to 760,000 by 2022; hospital employment rose 33%, private practices 17%.
- Physician employment in private practices decreased to 55% (down 3%), while hospital employment rose to 27% (up 2%).
- Small private practices (<50 employees) decreased 16% over two decades, while large practices (≥50 employees) increased.
Conclusions
- Physician-owned private practices remain the predominant employment setting.
- Hospital employment has grown to over a quarter of all employed physicians.
- Small private practices are still most common, but larger practices are emerging.
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