Becker's Healthcare January 17, 2025
Francesca Mathewes

Physicians’ sense of autonomy in employed settings and their ability and inclination to operate an independent practice have dually declined in recent years, becoming a central concern for physicians across specialties.

Just 44% of physicians owned their own practice in 2022, compared with 76% in the early 1980s, according to the American Medical Association.

Around 61% of employed physicians said they have moderate or no autonomy to make referrals outside of their practice or ownership system, and 47% said they adjust patient treatment options to reduce costs based on practice policies or incentives, according to a survey from NORC at the University of Chicago.

The decline in physician autonomy may also be connected to lower satisfaction in...

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