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Among the physician practices, 16.5% had only one office-based physician in 2016. [3] Physician group practices with 2-4 physicians make up 22.3% of physician offices in the United States, 19.8% have 5-10 physicians, 12.1% have 11-24 physicians, 6.3% have 25–49, and the remaining 13.5% have 50 or more physicians.
Doctors may work independently, as part of a larger group practice, or for a hospital or healthcare organization. Independent practices are defined as one in which the physician owns a majority of his or her practice and has decision making rights. In 2000, 57% of doctors were independent, but this decreased to 33% by 2016.
In the group model, the HMO does not employ the physicians directly, but contracts with a multi-specialty physician group practice. Individual physicians are employed by the group practice, rather than by the HMO. The group practice may be established by the HMO and only serve HMO members ("captive group model"). Kaiser Permanente is an example ...
By 2010, there were over 5,000 physicians [21] in over 500 providers using the model. [14]: 12 From 2012-2018, the Physicians Foundation has conducted a biennial survey of physicians and found that between 4.5-8.8% plan to switch to a concierge model each time. [22] In 2012, there were 4,400 private physicians – a 25% increase from 2011. [23]
Most family physicians in the US practice in solo or small-group private practices or as hospital employees in practices of similar sizes owned by hospitals. However, the specialty is broad and allows for a variety of career options including education, emergency medicine or urgent care, inpatient medicine, international or wilderness medicine ...
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