title: Private practice: the new paths through the changing landscape.
abstract: Private practice physicians increasingly compete with much larger practices and even hospitals while reimbursement rates fall. Longer hours, seeking increased efficiency, and delayed retirement now occupy physicians' time and attention. Physicians must consider geographic expansion, increasing the range of services, alliances to preserve sources of referrals, and merger opportunities. Also, retirement increasingly consists of two or more changes of career. This article assumes the reader is constantly evaluating his or her practice. This article enhances that thinking with very specific self-assessment questions that frame the issues and opportunities.
authors.forename: Andrew
authors.initials: A
authors.lastname: Masini
mesh_terms: D002322:Career Mobility; D004465:Economic Competition; D004522:Educational Status; D006273:Health Facility Merger; D006801:Humans; D011216:Practice Management, Medical / Q000458:organization & administration*; D020443:Practice Valuation and Purchase; D011331:Private Practice / Q000458:organization & administration*; D012179:Retirement; D014481:United States; D016526:Workload