ArticleJournal of hospital medicine2026
Perspectives on increasing corporate ownership and unionization in hospital medicine: An exploratory mixed methods study.
Article in Journal of hospital medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Perspectives on increasing corporate ownership and unionization in hospital medicine: An exploratory mixed methods study.Journal of hospital medicine · 2026Article
- Corporate ownership of hospitals and physician unionization.Journal of hospital medicine · 2026Article
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Authors and funding
12 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMultiple workforce trends are reshaping the healthcare landscape including the growing influence of corporate ownership of healthcare systems and physician practices, including private equity (PE) and venture capital (VC) investments, and a rise of physician unionization.
objectiveExplore experiences and perceptions regarding these trends.
methodsAn exploratory embedded mixed methods design with a 15-question survey and semi-structured virtual focus groups held on May 14, 2024 and July 17, 2024 using rapid qualitative methods.
resultsThirty-three individuals from 26 different organizations participated, with 28 participants completing the embedded survey. Most were physicians (93%) and leaders (36%) primarily from nonprofit or academic organizations. Participants (18%) stated that members in their hospitalist group were actively considering unionization. There were four themes: (1) the business of healthcare is perceived to create misalignment between clinicians and health systems, with corporatization, particularly PE, seen as adding to these challenges, (2) healthcare workers increasingly feel voiceless in a margin-focused environment, contributing to unionization efforts, (3) unionization was seen as an advocacy tool with benefits and drawbacks including conflicts with professional values, and (4) participants, primarily physicians, felt poorly informed about unionization and had a wide range of views on the topic. PE/VC was viewed as predominantly negative though varied by context.
conclusionsIn this exploratory study, participants perceived corporatization, including PE investment, as influencing clinician interest in unionization. While causal relationships cannot be inferred, findings suggest that unionization may be used as a mechanism for clinicians to regain voice with participants also noting potential uncertainties and drawbacks.
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