PHYSICIAN SATISFACTION UNDER MANAGED CARE
PHYSICIAN SATISFACTION UNDER MANAGED CARE
复制标题
DOI：
10.1377/hlthaff.12.suppl_1.258
复制
发表时间：
1993-01-01
期刊：
影响因子：
9.7
通讯作者：
CANTOR, JC
中科院分区：
文献类型：
--
作者：
BAKER, LC;CANTOR, JC
对年轻医生调查的数据进行了分析，以研究管理式医疗下的执业医学与感知的专业自主权、执业满意度和职业满意度水平之间的关系。尽管管理式医疗实践与患者选择和时间分配方面的感知自主权水平较低相关，但它与使用医院护理、测试和程序方面的感知自主权水平较高相关。与管理式医疗相关的专家比通才拥有更多的自主权 对医生对其执业和职业满意度的分析表明，管理式医疗下的执业并不总是与较低的满意度相关。总体而言，管理式医疗似乎并未对医疗实践产生预期的有害影响。
Data from a survey of young physicians have been analyzed to study the relationship between practicing medicine under managed care and the levels of perceived professional autonomy, practice satisfaction, and career satisfaction. Although practicing under managed care is associated with lower levels of perceived autonomy in patient selection and time allocation, it is associated with higher levels of perceived autonomy in use of hospital care, tests, and procedures. Specialists associated with managed care perceive more autonomy than generalists Analyses of physicians' satisfaction with their practices and careers show that practicing under managed care is not uniformly associated with lower levels of satisfaction. Overall, managed care does not seem to have had the deleterious impact on medical practice that was forecast for it.