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Previous Volume 360:655-657 February 12, 2009 Number 7 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Despite the current focus on expanding health insurance coverage, relatively little attention has been paid to the future of the physicians who provide care for the insured and uninsured alike — specifically, to their ongoing migration from independent solo or small-group practices to larger-group practices, where they are often employees. This trend and its consequences for the care of patients and the practice of medicine have scarcely been explored.

The percentage of U.S. physicians who own their own practice has been declining at an annual rate of approximately 2% for at least the past 25 years. Although the decline is . . . [Full Text of this Article]

Source Information

Mr. Isaacs and Dr. Jellinek are partners in Isaacs/Jellinek, a San Francisco–based firm that advises health foundations. Dr. Ray is vice president of the Physicians' Foundation, Boston.

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