私募股权收购初级保健实践:临床医生的适度增长被增加的临床医生退出所抵消
Jane M Zhu1, Aine Huntington2, Mia Giuriato3
1Jane M. Zhu (zhujan@ohsu.edu), Oregon Health & Science University, Portland, Oregon.
Health affairs (Project Hope)
|March 2, 2026
概括
初级保健实践的私募股权收购导致了适度的劳动力增长,但先进实践提供商的营业额增加. 这影响了初级保健机构的护理连续性和获取.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医疗保健管理的管理
- 主要护理医学 医疗保健
背景情况:
- 私募股权 (PE) 收购初级保健实践正在增加.
- 对于PE所有权对初级保健临床医生劳动力的影响尚不清楚.
- 劳动力稳定对于护理连续性和患者获取至关重要.
研究的目的:
- 检查私募股权收购后,初级保健实践中的劳动力变化.
- 评估对临床医生和临床医生退出人数的影响.
- 根据医生和高级实践提供者 (APP) 状态来区分影响.
主要方法:
- 使用差异差异设计.
- 分析了PE在2018-2022年期间收购的451家美国初级保健实践的数据.
- 结果与2,241个匹配的独立控制实践进行了比较.
主要成果:
- 获得实践的相对增加为每间实践0.39名临床医生 (12.2%的增长).
- 增长包括医生 (+0.21) 和高级实践提供者 (+0.18).
- 每个诊所的临床医生退出增加了0.22%,主要是由于APP的营业额.
结论:
- 私募股权收购与初级保健工作人员适度增长有关.
- 收购后更高的先进实践提供商营业额引发了一些担忧.
- 所有权模式显著影响了初级保健的员工动态和劳动力稳定性.
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