Current trends in physicians'practice arrangements : From owners to employees.
- 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.
- 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.
- 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
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0396317
Code Inist : 002B30A05. Création : 10/04/1997.