销售私募股权医生实践和医生的营业额
Victoria Berquist1, Lev Klarnet2,3, Leemore Dafny1,2,4
1Harvard Kennedy School, Harvard University, Cambridge, Massachusetts.
JAMA health forum
|February 14, 2025
概括
私募股权 (PE) 从医生实践中退出,增加了医生的营业额,并导致更多的医生加入大型实践. 这一趋势影响了患者,医生和医疗保健市场.
科学领域:
- 卫生经济学 卫生经济学
- 医生劳动力研究 医生劳动力研究
- 医疗保健管理的管理
背景情况:
- 医生实践的私募股权 (PE) 收购正在上升,典型的拥有时间范围为3-7年.
- 关于PE所有权转型对医生保留和随后的就业模式的影响的数据有限.
研究的目的:
- 调查私募股权 (PE) 从医生实践中退出和随后医生保留的变化之间的关联.
- 检查PE退出对医生选择实践大小后收购实践的影响.
主要方法:
- 一项病例控制研究使用了医疗保险计费数据 (2014-2020年),将PE退出实践中的医生与匹配的对照进行了比较.
- 一个差异设计分析了PE退出前两年和之后的医生保留率.
- 调整为医生毕业十年的多项逻辑模型,以评估就业结果.
主要成果:
- 与对照人群相比,在PE退出实践的医生在退出两年后继续从事实践的可能性降低了16.5个百分点.
- 两组之间没有观察到退休概率的显著差异.
- 从PE退出实践的医生加入大型 (>120名医生) 实践的可能性高10.1个百分点.
结论:
- 私募股权 (PE) 退出与医生周转率的增加和向更大实践就业的转变有关.
- 这些发现突出了对医疗保健提供,医生职业道路和市场整合的重大影响.
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