Imagine calling your doctor’s office because you’re feeling unwell, only to be told your primary care physician (PCP) has “moved on” or that you’ll be seeing a different nurse practitioner (NP) or physician assistant (PA) every time you visit.
For many, this isn’t a hypothetical—it’s the new reality. Recent data highlights a troubling shift: 94% of physicians report that corporate and administrative burdens have made operating a solo practice nearly impossible, leading to the widespread acquisition of independent offices by large hospital systems. This corporate consolidation is the primary driver behind why so many patients feel like they are in a “revolving door” system where they rarely see the same provider twice.
What is Continuity of Care?
True continuity of care isn’t just about having a medical record; it’s about a long-term relationship with one physician who knows your history, your family, and your health goals. When you see the same doctor over years, you aren’t just getting a diagnosis—you’re getting a partner in your health.
The Problem: Corporate “Switch-Ups”
In large corporate clinics, doctors are often employees who are moved between locations or replaced by mid-level providers to cut costs. While NPs and PAs are vital parts of the medical community, many patients feel “slighted” or frustrated when they are unable to see their actual doctor for complex or ongoing needs.
This fragmentation leads to:
Wasted Time: Re-explaining your history at every appointment.
Missed Cues: A new provider might not notice subtle changes in your health that a long-term doctor would catch immediately.
Poorer Outcomes: Research shows that losing a consistent PCP leads to a significant increase in emergency department visits and higher overall healthcare spending.
The Rare Exception: East County Internal Medicine
While independent solo practices are becoming unheard of on both a local and national scale, East County Internal Medicine remains dedicated to the “old school” way of practicing medicine.
Since 2013, patients in Lakewood Ranch and Bradenton have enjoyed the rare privilege of seeing the same physician: Shaan Kunwar, DO.
As an independent, physician-owned practice, we don’t answer to corporate boards or insurance quotas. This independence allows us to offer:
Direct Access: When you book an appointment, you see Dr. Kunwar—every single time.
Better Results: Patients who have a long-term relationship with their doctor report significantly higher satisfaction and better management of chronic conditions.
Trust: We know your name, your history, and your health.
In a world of corporate healthcare, finding a doctor who stays is a big deal. At East County Internal Medicine, we aren’t just treating symptoms; we’re honoring the lifelong partnership between doctor and patient.
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“An informed patient is a healthier patient.”
Shaan Kunwar DO
941-727-7771