During the 1990’s, due to rising medical costs, the median income of primary care physicians remained relatively flat. In response, many physicians organized their offices into corporate practices to save money by assigning more nurses and physician’s assistants to more technical tasks
Often, these practices are flawed because not all patients are able to see a doctor during their visits. Some physicians have their physicians assistants or nurse practitioners see the less serious patients which may result in a misdiagnosis. On a more extreme end, due to more volume in patient visits, doctors, particularly specialists may not have a chance to follow up with patients or patients’ primary care physicians.
For example, someone who was diagnosed with cancer may not receive the kind of immediate follow up and care given by smaller practices if sent to a corporate physician practice. This lag in time could be crucial to someone with cancer diagnosed at an early stage so that the cancer doesn’t metastasize or spread while the patient is waiting for a course of treatment.
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