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2013 Physician Outlook & Practice Trends

The latest annual survey results on physician attitudes and practice trends is out from Jackson Healthcare, a health care staffing firm. The report looks at physician attitudes related to job satisfaction, employment vs. private practice, workload and environment, use of advance practitioners, Medicare/Medicaid access, ACO participation, and physician attrition. Among the findings are these:

  • The proportion of hospital employed physicians grew from 20% in 2012 to 26% in 2013, while other non-ownership physician employees also rose from 12% to 15% over the previous year.
  • 25% of physicians reported participation in an accountable care organization in 2013, an increase from 22% in 2012. Another 14% plan to participate in an ACO.
  • The top reasons given by physicians leaving private practice were overhead costs too high, focus on practice of medicine without administrative hassles, and reimbursement cuts.
  • While there was significant job dissatisfaction among physicians, the more satisfied were likely to be employees of a hospital or physician-owned practice, supported by nurse practitioners or physician assistants, practicing concierge medicine, and/or working 11 or fewer hours per day.

Source: 2013 Physician outlook & practice trends: filling the void. Jackson Healthcare, 2013. http://www.jacksonhealthcare.com/media/191888/2013physiciantrends-void_ebk0513.pdf

Posted by AHA Resource Center (312) 422-2050, rc@aha.org

Use of physician assistants and advance practice nurses in hospital outpatient departments

Patients are increasingly seeing only a physician assistant or advance practice nurse when visiting a hospital outpatient department, although the rate is still low. The use of PAs and APNs for patient visits increased from 10% of visits in 2000-01 to 15% in 2008-09, an increase of 50%.

As might be expected, patients in rural areas were more likely to see only a PA or APN than their urban counterparts – 36% of visits in rural locations compared to 6% in metropolitan areas. Smaller hospitals, non-teaching hospitals, and general medicine or obstetrics/gynecology issues were also likelier to involve PA- or APN-only visits.

Hing E and Uddin S. Physician assistant and advance practice nurse care in hospital outpatient departments: United States, 2008-2009. NCHS [National Center for Health Statistics] Data Brief, no. 77, Nov. 2011. http://www.cdc.gov/nchs/data/databriefs/db77.pdf

Posted by AHA Resource Center, (312) 422-2050, rc@aha.org