Table 1.

Respondent Comments Regarding Pressures Impacting Business Decisions

Comment
“Staffing shortage”
“Retiring physicians”
“Regional health care networks evolving”
“Health care reform”
“Our competition is a cancer clinic, directly across the street, that is owned by a disproportionate-share hospital. This allows them to purchase drugs at pennies on the dollar when compared to our pricing. Yet, we compete openly with them for the local demographic.”
“Local provider select care”
“Litigation”
“Legislative and regulatory restrictions in Massachusetts”
“Increased regulations”
“Hospitals buying referral sources and making those practices refer to their cancer center”
“Hospital changes”
“Expansion”
“Employee job loss”
“Drug shortages”
“Difficulty recruiting qualified physicians”
“Compliance/5010/ICD-10”
“Change in management personnel”
“Cash flow, because of ANSI 5010 issues in the beginning of 2012”
“Actually, they are all impacting our business!”

Abbreviations: ANSI, American National Standards Institute; ICD-10, International Classification of Disease 10th revision.