The rise of health system and hospital ownership of primary care practices raises policy questions about the survival of independent physician-owned practices. Our data indicate that a substantial proportion of FPs in 2017–2019 remained in independently owned practice: 81% of solo practitioners and 35% of FPs in practices with 2–5 clinicians. These findings suggest that independent practice is surviving, and that it's incumbent on researchers, payers, and policymakers to better understand their unique contributions and challenges in the effort to improve primary care access, quality, and cost.

中文翻译：

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2017-2019 年，三分之一的家庭医生仍从事独立执业

卫生系统的兴起和初级保健实践的医院所有权提出了关于独立医生拥有的实践的生存的政策问题。我们的数据表明，2017-2019 年有很大比例的 FPs 仍然在独立执业：81% 的独立从业者和 35% 的 FPs 与 2-5 名临床医生一起执业。这些发现表明，独立实践仍在继续，研究人员、支付者和政策制定者有责任更好地了解他们在改善初级保健可及性、质量和成本方面的独特贡献和挑战。