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  1. Current trends in physicians'practice arrangements : From owners to employees.

    Article - En anglais

    Objective

    - To examine current trends in practice organization among postresident patient care physicians in the United States.

    Design and Setting

    - The American Medical Association's Socioeconomic Monitoring System (SMS), a series of periodic surveys of nationally representative samples of nonfederal postresident patient care physicians.

    Physicians were divided into 3 categories based on the organization of their main practice.

    They were classified as employee physicians if they had no ownership interest in their practice, as self-employed solo physicians if they were in 1-physician practices in which they had an ownership interest, and as self-employed group physicians if they were in multiple-physician practices in which they had an ownership interest.

    Participants

    - Nonfederal, postresident patient care physicians who provided more than 47000 responses to SMS surveys between 1983 and 1994.

    Main Outcome Measure

    - The proportion of nonfederal postresident patient care physicians who were employees between 1983 and 1994.

    Results

    - Between 1983 and 1994, the proportion of patient care physicians practicing as employees rose from 24.2% to 42.3% (P<. 001), the proportion self-employed in solo practices fell from 40.5% to 29.3% (P<. 001), and the proportion self-employed in group practices fell from 35.3% to 28.4% (P<. 001).

    Most of these changes occurred in the latter half of the 12-year period. (...)

    Mots-clés Pascal : Médecin, Soin santé primaire, Organisation travail, Evolution, Cabinet groupe, Homme

    Mots-clés Pascal anglais : Physician, Primary health care, Job engineering, Evolution, Group practice, Human

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 96-0396317

    Code Inist : 002B30A05. Création : 10/04/1997.