A decline in the number of solo dentists could have both positive and negative effects on the industry, according to Huzefa Kapadia, DDS.
A recent report from the Association of DSOs found that the majority of dentists now work in a group practice, with only 36% of dentists working at a solo practice. Thirteen percent of dentists are now affiliated with a DSO.
Dr. Kapadia is the owner of Kapadia Dental Care in Waterford, Mich., and Detroit Sterling Dental. He recently spoke with Becker's about what is driving this trend among solo practitioners and what it could mean for the dental industry.
Editor's note: This response was lightly edited for clarity and length.
Question: What factors are contributing to the decline in solo dentistry? What will the industry look like with fewer solo dentists?
Dr. Huzefa Kapadia: The trend toward dentists increasingly joining group practices and affiliating with DSOs is undoubtedly reshaping the landscape of dentistry. While the decline in solo practices may bring about significant changes, it's essential to consider both the challenges and potential benefits associated with this shift.
Firstly, with fewer solo dentists, patients may experience a shift in the dynamics of their dental care. Group practices and DSOs often offer a more streamlined and collaborative approach to patient care, with access to a broader range of services and specialists under one roof. This can potentially lead to improved patient outcomes through coordinated care and enhanced treatment options.
However, the decline in solo practices could also raise concerns about the potential loss of personalized, patient-centered care that many individuals value. Solo practitioners often develop strong, long-term relationships with their patients, providing a level of familiarity and continuity of care that may be challenging to replicate in larger group settings. I have loved seeing my patients in the last 20 years, and we have developed strong bonds, which we both would not have if in a DSO or perhaps a group practice.
Moreover, the financial implications for dentists transitioning from solo to group practice or DSO affiliation can be significant. While joining a larger organization may offer economies of scale and support in areas such as marketing and administrative tasks, it may also entail relinquishing some degree of autonomy and potentially accepting different compensation models.
Overall, the evolving landscape of dentistry reflects broader trends seen across various healthcare sectors, driven by factors such as changing patient demographics, technological advancements and regulatory pressures. As the profession continues to adapt, it's crucial for dentists to remain flexible and innovative in delivering high-quality care while prioritizing the needs and preferences of their patients.
I personally enjoy solo practice a lot. It gives me flexibility in taking as much time off as I want, and I work as hard as I want. I cringe thinking about more rules and policies controlling me.