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email article Fewer than half of U.S. physicians worked in private practice during 2020, continuing a trend that has accelerated in recent years, according to a survey by the American Medical Association (AMA). Data collected from 3,500 U.S. physicians showed that 49.1% worked in physician-owned practices, a relative 9% decrease from the previous survey in 2018, when 54% of respondents said they worked primarily in private practice. The decline is the largest 2-year change since AMA started the biennial survey in 2012. The shift away from private-practice settings has been in evidence for several years, but the magnitude of decline from 2018 to 2020 suggested the shift toward larger, nonphysician-owned practices has increased. The newest survey showed that 17.2% of physicians worked in practices with 50 or more physicians, as compared with 14.7% in 2018. ....