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A recent Bain survey shows that most health system executives share the goal of transforming primary care. They want to add practices and employ more primary care physicians, often while moving toward value-based models. But getting there won’t be easy.
Health system leaders’ top strategic priority is physician recruitment and retention, according to our survey. Yet workforce shortages are the No. 1 concern keeping leaders up at night.
Many physicians are unhappy at work. Those at practices owned by or serving hospitals and healthcare systems are almost three times more likely to be dissatisfied than those at practices owned by physicians. And nearly a quarter of physicians in health-system-led practices are eyeing the exit, compared to just 14% in physician-led ones. Among those seeking to leave, 37% want to move to physician-led practices.
To retain top talent and successfully transform, leading health systems will invest in the clinician experience. These health systems will develop a clear, differentiated physician value proposition that reflects what matters most to physicians and is shaped with their input. Involving physicians in strategic decisions not only builds trust but also improves outcomes for clinicians and patients alike.
AI tools could help ease administrative burdens and support clinical decisions. In addition, listening to clinicians, closing the feedback loop, and acting on what matters will set leading systems apart.
Is Your Health System Ready for AI at Scale?
Five questions can help health system executives boost AI adoption in primary care and fuel organization-wide transformation.
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First published in ottobre 2025