Trends in Ophthalmology Practice Consolidation : 2015 – 2022

Trends in Ophthalmology Practice Consolidation : 2015 – 2022

Journal Ophthalmology
Status 審查完成
校稿者 蕭靜熹 醫師

Ophthalmology Volume 130, Number 9, September 2023



該研究使用美國醫療保險與醫療補助服務中心(Centers for Medicare and Medicaid Services)國家可下載文件數據庫的數據,研究了2015年至2022年間眼科領域執業的合併趨勢。研究發現,合併趨勢明顯,眼科診所的數量減少了18%,而眼科醫師的數量相對穩定。具有10名或更多眼科醫師的診所增加了16%。這一趨勢在性別、地區和實踐年限方面保持一致。



English Abstract

The study examines the trend of practice consolidation in the field of ophthalmology from 2015 to 2022 using data from the Centers for Medicare and Medicaid Services (CMS) National Downloadable File database. The study found a significant trend toward consolidation, with the number of ophthalmology practices decreasing by 18% while the number of ophthalmologists remained relatively stable. Practices with 10 or more ophthalmologists saw a 16% increase. The trend was consistent across genders, regions, and years spent in practice.

Several factors contributing to this consolidation trend were identified, including the COVID-19 pandemic, private equity acquisitions, and changes in health policy like the introduction of performance-based payment models. The study suggests that consolidation has both advantages and disadvantages. On the positive side, larger practices can achieve economies of scale, negotiate better reimbursement rates, and have more resources to meet reporting requirements. On the downside, consolidation may lead to reduced competition, higher prices for patients, and a focus on short-term financial gains over long-term investments in practice and evidence-based medical care.

The study concludes that while consolidation is in line with general trends in the U.S. healthcare landscape, its implications for healthcare delivery and patient outcomes remain to be determined and warrant further investigation.