title: The Medical Profession's Future: A Struggle Between Caring For Patients And Bottom-Line Pressures.
abstract: In this issue of Health Affairs, Lawrence Casalino and coauthors establish that physicians in common specialty practices spend an average of 2.6 hours per week dealing with external quality measures. This gives rise to general questions about the future of the medical profession. To what extent will quality-tracking requirements and similar practice intrusions reshape who physicians are, how many physicians there are, and how they practice? In turn, how will these changes affect patients' access to care? Data derived from the 2014 Survey of America's Physicians: Practice Patterns and Perspectives, conducted by Merritt Hawkins on behalf of the Physicians Foundation, make it clear that physician practice patterns are evolving. Responding to an increasingly intrusive practice environment, physicians report that they will choose a variety of practice models likely to reduce patients' access to care or that they will retire early, which will exacerbate the physician shortage and fundamentally change the nature of the medical profession.
authors.affiliation: Phillip Miller (phil.miller@amnhealthcare.com) is vice president for communications at Merritt Hawkins and Staff Care, companies of AMN Healthcare, in Dallas, Texas.
authors.forename: Phillip
authors.initials: P
authors.lastname: Miller
mesh_terms: D000328:Adult; D002055:Burnout, Professional / Q000517:prevention & control; D018588:Fee-for-Service Plans / Q000191:economics / Q000639:trends*; D005260:Female; D005544:Forecasting; D017048:Health Care Costs; D018166:Health Care Reform / Q000191:economics*; D019538:Health Care Surveys; D006801:Humans; D008297:Male; D006278:Medicare / Q000191:economics; D008511:Medicine / Q000458:organization & administration*; D008875:Middle Aged; D020380:Needs Assessment; D005791:Patient Care; D010820:Physicians / Q000600:supply & distribution*; D010818:Practice Patterns, Physicians' / Q000191:economics*; D018570:Risk Assessment; D013315:Stress, Psychological; D014481:United States
keywords: Access To Care; Cost of Health Care; Health Reform; Medicare; Physician Payment