Physiatry Practice Now and in 2032: How to Thrive in the Post–Health Care Reform World

Abstract

Health care reform is upon us, including changes in models of care delivery and physician and institution compensation. The resulting tsunami of uncertainty offers physiatrists the opportunity to relocate to higher ground and help the specialty thrive as well as to identify the possible quagmires into which practices could sink. For this reason, it is prudent for physiatrists to more carefully consider how their professional lives may be altered in the aftermath of reform. We believe that understanding and preparation will facilitate opportunities and mitigate challenges. In this essay, we will discuss various alternative scenarios that represent population health and health care delivery in the year 2032, the real-world opportunities and challenges for the physiatrist in the present and in the next 2 decades, along with ideas as to how physiatry can thrive in the post-health care reform world.

The Physiatry Workforce in 2019 and Beyond, Part 1

“…The survey instrument was developed jointly by project staff and an advisory group and informed by previous literature. [3][4][5][6][7][8][9][10][11] The survey was pilot tested with a small group of physiatrists and subsequently edited for clarity. The survey consisted of 25 questions with a mix of closed-ended, fill-in, and narrative items and used a skip logic design keyed to a positive or negative response to several of the survey questions.…”

“…The survey instrument was developed jointly by project staff and an advisory group and informed by previous literature 3–11 . The survey was pilot tested with a small group of physiatrists and subsequently edited for clarity.…”

Futures Planning at the AAN

“…The Board also reviewed a series of articles on futures planning, related in process, that might inform its thinking about neurology. 1-12…”

“…The Board also reviewed a series of articles on futures planning, related in process, that might inform its thinking about neurology. [1][2][3][4][5][6][7][8][9][10][11][12] At the planning sessions, the AAN Executive Team and Board members were divided into 4 groups, so as to achieve a breadth of expertise and viewpoint in each group. Our 2035 forecasts were to enhance, interpolate, and expand on adaptations of previously published IAF alternative 2032 scenarios focused on the economy, society, and health care.…”