United States

From MedDatu

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Overview

Traditionally all American physicians were in private practice with admitting privileges at one or more local hospitals. For a variety of reasons this has shifted in recent years. This shift has been accelerated by the incentives of the Affordable Care Act and now over 50% of physicians are employed by hospitals or healthcare systems, known as affordable care organizations. The specific local market conditions affects how this has happened with which specialities with physicians in more rural areas having more power and thus ability to remain independent. Due to the size of America, with concomitant long transport times, rural physicians also earn substantially more income and retain a wider breadth of practice. It would not be uncommon to find a rural general surgeon booking plenty of vascular cases because the nearest formally trained vascular surgeon may be hundreds of miles away.


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