{"id":"https://openalex.org/W3139345696","doi":"https://doi.org/10.1056/nejmp2032115","title":"Private Equity and Physician Medical Practices \u2014 Navigating a Changing Ecosystem","display_name":"Private Equity and Physician Medical Practices \u2014 Navigating a Changing Ecosystem","publication_year":2021,"publication_date":"2021-03-13","ids":{"openalex":"https://openalex.org/W3139345696","doi":"https://doi.org/10.1056/nejmp2032115","mag":"3139345696","pmid":"https://pubmed.ncbi.nlm.nih.gov/33734651"},"language":"en","primary_location":{"id":"doi:10.1056/nejmp2032115","doi":"https://doi.org/10.1056/nejmp2032115","is_oa":false,"landing_page_url":"https://doi.org/10.1056/nejmp2032115","pdf_url":null,"source":{"id":"https://openalex.org/S62468778","display_name":"New England Journal of Medicine","issn_l":"0028-4793","issn":["0028-4793","0096-6762","1533-4406","2331-4710"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320239","host_organization_name":"Massachusetts Medical Society","host_organization_lineage":["https://openalex.org/P4310320239"],"host_organization_lineage_names":["Massachusetts Medical Society"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"New England Journal of Medicine","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5047307870","display_name":"Jane M. Zhu","orcid":"https://orcid.org/0000-0002-4868-6078","observed_orcids":["https://orcid.org/0000-0002-4868-6078"]},"institutions":[{"id":"https://openalex.org/I145311948","display_name":"Johns Hopkins University","ror":"https://ror.org/00za53h95","country_code":"US","type":"education","lineage":["https://openalex.org/I145311948"]},{"id":"https://openalex.org/I165690674","display_name":"Oregon Health & Science University","ror":"https://ror.org/009avj582","country_code":"US","type":"education","lineage":["https://openalex.org/I165690674"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jane M. Zhu","raw_affiliation_strings":["From the Division of General Internal Medicine, Oregon Health and Science University, Portland (J.M.Z.); and the Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, the Johns Hopkins Carey Business School, and the Hopkins Business of Health Initiative, Johns Hopkins University, Baltimore (D.P.)","Division of General Internal Medicine, Oregon Health and Science University, Portland, and the Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, the Johns Hopkins Carey Business School"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"From the Division of General Internal Medicine, Oregon Health and Science University, Portland (J.M.Z.); and the Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, the Johns Hopkins Carey Business School, and the Hopkins Business of Health Initiative, Johns Hopkins University, Baltimore (D.P.)","institution_ids":["https://openalex.org/I145311948","https://openalex.org/I165690674"]},{"raw_affiliation_string":"Division of General Internal Medicine, Oregon Health and Science University, Portland, and the Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, the Johns Hopkins Carey Business School","institution_ids":["https://openalex.org/I145311948","https://openalex.org/I165690674"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5072796055","display_name":"Daniel E. Polsky","orcid":"https://orcid.org/0000-0001-8403-9612","observed_orcids":["https://orcid.org/0000-0001-8403-9612","https://orcid.org/0000-0001-9554-5289"]},"institutions":[{"id":"https://openalex.org/I145311948","display_name":"Johns Hopkins University","ror":"https://ror.org/00za53h95","country_code":"US","type":"education","lineage":["https://openalex.org/I145311948"]},{"id":"https://openalex.org/I165690674","display_name":"Oregon Health & Science University","ror":"https://ror.org/009avj582","country_code":"US","type":"education","lineage":["https://openalex.org/I165690674"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Daniel Polsky","raw_affiliation_strings":["From the Division of General Internal Medicine, Oregon Health and Science University, Portland (J.M.Z.); and the Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, the Johns Hopkins Carey Business School, and the Hopkins Business of Health Initiative, Johns Hopkins University, Baltimore (D.P.)","Hopkins Business of Health Initiative, Johns Hopkins University, Baltimore"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"From the Division of General Internal Medicine, Oregon Health and Science University, Portland (J.M.Z.); and the Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, the Johns Hopkins Carey Business School, and the Hopkins Business of Health Initiative, Johns Hopkins University, Baltimore (D.P.)","institution_ids":["https://openalex.org/I145311948","https://openalex.org/I165690674"]},{"raw_affiliation_string":"Hopkins Business of Health Initiative, Johns Hopkins University, Baltimore","institution_ids":["https://openalex.org/I145311948"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":16.3668,"has_fulltext":false,"cited_by_count":58,"citation_normalized_percentile":{"value":0.99174739,"is_in_top_1_percent":true,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":97,"max":99},"biblio":{"volume":"384","issue":"11","first_page":"981","last_page":"983"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11903","display_name":"Private Equity and Venture Capital","score":0.975600004196167,"subfield":{"id":"https://openalex.org/subfields/1402","display_name":"Accounting"},"field":{"id":"https://openalex.org/fields/14","display_name":"Business, Management and Accounting"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T11903","display_name":"Private Equity and Venture Capital","score":0.975600004196167,"subfield":{"id":"https://openalex.org/subfields/1402","display_name":"Accounting"},"field":{"id":"https://openalex.org/fields/14","display_name":"Business, Management and Accounting"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.01730000041425228,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T14464","display_name":"Community Development and Social Impact","score":0.0012000000569969416,"subfield":{"id":"https://openalex.org/subfields/2003","display_name":"Finance"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/private-equity","display_name":"private equity","score":0.9599999785423279},{"id":"https://openalex.org/keywords/health-care-investment","display_name":"health care investment","score":0.7379999756813049},{"id":"https://openalex.org/keywords/health-care-market","display_name":"health care market","score":0.6100000143051147},{"id":"https://openalex.org/keywords/health-care-financing","display_name":"health care financing","score":0.4169999957084656}],"concepts":[{"id":"https://openalex.org/C71110296","wikidata":"https://www.wikidata.org/wiki/Q476115","display_name":"Private equity","level":2,"score":0.8951684236526489},{"id":"https://openalex.org/C93236110","wikidata":"https://www.wikidata.org/wiki/Q5136435","display_name":"Club deal","level":4,"score":0.7865912914276123},{"id":"https://openalex.org/C202093079","wikidata":"https://www.wikidata.org/wiki/Q5418962","display_name":"Private equity firm","level":3,"score":0.7650035619735718},{"id":"https://openalex.org/C199728807","wikidata":"https://www.wikidata.org/wiki/Q2578557","display_name":"Equity (law)","level":2,"score":0.6547114849090576},{"id":"https://openalex.org/C178297102","wikidata":"https://www.wikidata.org/wiki/Q5978114","display_name":"Private equity fund","level":3,"score":0.6434065103530884},{"id":"https://openalex.org/C161473905","wikidata":"https://www.wikidata.org/wiki/Q15506402","display_name":"Private equity secondary market","level":4,"score":0.6271699666976929},{"id":"https://openalex.org/C143801662","wikidata":"https://www.wikidata.org/wiki/Q5384683","display_name":"Equity capital markets","level":3,"score":0.5240288376808167},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.521033525466919},{"id":"https://openalex.org/C38731271","wikidata":"https://www.wikidata.org/wiki/Q456272","display_name":"Private investment in public equity","level":4,"score":0.5041218996047974},{"id":"https://openalex.org/C27548731","wikidata":"https://www.wikidata.org/wiki/Q88272","display_name":"Investment (military)","level":3,"score":0.4896569848060608},{"id":"https://openalex.org/C2780154274","wikidata":"https://www.wikidata.org/wiki/Q7126717","display_name":"Download","level":2,"score":0.4325806498527527},{"id":"https://openalex.org/C10138342","wikidata":"https://www.wikidata.org/wiki/Q43015","display_name":"Finance","level":1,"score":0.3863595724105835},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.31119459867477417},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.08880794048309326},{"id":"https://openalex.org/C111919701","wikidata":"https://www.wikidata.org/wiki/Q9135","display_name":"Operating system","level":1,"score":0.0},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0},{"id":"https://openalex.org/C94625758","wikidata":"https://www.wikidata.org/wiki/Q7163","display_name":"Politics","level":2,"score":0.0},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D004465","descriptor_name":"Economic Competition","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006123","descriptor_name":"Group Practice","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":false},{"descriptor_ui":"D006759","descriptor_name":"Hospital-Physician Joint Ventures","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010067","descriptor_name":"Ownership","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D010820","descriptor_name":"Physicians","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":false},{"descriptor_ui":"D011364","descriptor_name":"Professional Practice","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D011364","descriptor_name":"Professional Practice","qualifier_ui":"Q000331","qualifier_name":"legislation & jurisprudence","is_major_topic":false},{"descriptor_ui":"D011364","descriptor_name":"Professional Practice","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true},{"descriptor_ui":"D013219","descriptor_name":"State Government","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017149","descriptor_name":"Private Sector","qualifier_ui":"Q000331","qualifier_name":"legislation & jurisprudence","is_major_topic":true},{"descriptor_ui":"D020399","descriptor_name":"Practice Management","qualifier_ui":"Q000331","qualifier_name":"legislation & jurisprudence","is_major_topic":false},{"descriptor_ui":"D020399","descriptor_name":"Practice Management","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":false},{"descriptor_ui":"D033161","descriptor_name":"Government Regulation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.1056/nejmp2032115","doi":"https://doi.org/10.1056/nejmp2032115","is_oa":false,"landing_page_url":"https://doi.org/10.1056/nejmp2032115","pdf_url":null,"source":{"id":"https://openalex.org/S62468778","display_name":"New England Journal of Medicine","issn_l":"0028-4793","issn":["0028-4793","0096-6762","1533-4406","2331-4710"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320239","host_organization_name":"Massachusetts Medical Society","host_organization_lineage":["https://openalex.org/P4310320239"],"host_organization_lineage_names":["Massachusetts Medical Society"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"New England Journal of Medicine","raw_type":"journal-article"},{"id":"pmid:33734651","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/33734651","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The New England journal of medicine","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[],"sustainable_development_goals_aurora":[],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":4,"referenced_works":["https://openalex.org/W2769747504","https://openalex.org/W2948599599","https://openalex.org/W3007132100","https://openalex.org/W3080116355"],"related_works":["https://openalex.org/W7154750738","https://openalex.org/W4409196387","https://openalex.org/W2255910325","https://openalex.org/W3031793137","https://openalex.org/W4252263318","https://openalex.org/W4403557198","https://openalex.org/W4410026825","https://openalex.org/W2998095494","https://openalex.org/W4385604312","https://openalex.org/W7117407684"],"abstract_inverted_index":{"Interview":[0],"with":[1],"Dr.":[2],"Jane":[3],"Zhu":[4],"on":[5],"the":[6,26],"growth":[7,41],"of":[8,42],"private-equity":[9,18,43],"investment":[10,44],"in":[11,25,49],"medical":[12],"practices.":[13],"(08:03)Download":[14],"In":[15],"recent":[16],"years,":[17],"firms":[19],"have":[20],"emerged":[21],"as":[22],"influential":[23],"players":[24],"health":[27],"care":[28],"market,":[29],"offering":[30],"a":[31,37],"lifeline":[32],"to":[33],"smaller":[34],"groups":[35],"needing":[36],"competitive":[38],"edge.":[39],"The":[40],"has":[45],"generated":[46],"intense":[47],"interest":[48],"potential":[50],"adverse":[51],"effects.":[52]},"counts_by_year":[{"year":2026,"cited_by_count":6},{"year":2025,"cited_by_count":13},{"year":2024,"cited_by_count":13},{"year":2023,"cited_by_count":12},{"year":2022,"cited_by_count":5},{"year":2021,"cited_by_count":9}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2021-03-29T00:00:00"}