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Factors affecting physician professional satisfaction and their implications for patient care, health systems, and health policy
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ISBN: 0833083627 0833082213 9780833083623 9780833082213 9780833082206 0833082205 Year: 2013 Publisher: Santa Monica, CA : Rand Health, American Medical Association,

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Abstract

One of the American Medical Association's core strategic objectives is to advance health care delivery and payment models that enable high-quality, affordable care and restore and preserve physician satisfaction. Such changes could yield a more sustainable and effective health care system with highly motivated physicians. To that end, the AMA asked RAND Health to characterize the factors that lead to physician satisfaction. RAND sought to identify high-priority determinants of professional satisfaction that can be targeted within a variety of practice types, especially as smaller and independent practices are purchased by or become affiliated with hospitals and larger delivery systems. Researchers gathered data from 30 physician practices in six states, using a combination of surveys and semistructured interviews. This report presents the results of the subsequent analysis, addressing such areas as physicians' perceptions of the quality of care, use of electronic health records, autonomy, practice leadership, and work quantity and pace. Among other things, the researchers found that physicians who perceived themselves or their practices as providing high-quality care reported better professional satisfaction. Physicians, especially those in primary care, were frustrated when demands for greater quantity of care limited the time they could spend with each patient, detracting from the quality of care in some cases. Electronic health records were a source of both promise and frustration, with major concerns about interoperability between systems and with the amount of physician time involved in data entry--


Book
Effects of health care payment models on physician practice in the United States
Authors: --- --- ---
ISBN: 0833090232 9780833090232 0833088947 9780833088949 Year: 2015 Publisher: [Place of publication not identified] Rand Corporation

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Keywords

Medical care --- Medical fees --- Physician practice patterns --- United States --- Practice Management --- Organization and Administration --- Economics --- Reimbursement Mechanisms --- Professional Practice --- Social Sciences --- Health Services Administration --- Insurance, Health, Reimbursement --- North America --- Americas --- Health Care --- Anthropology, Education, Sociology and Social Phenomena --- Financing, Organized --- Geographic Locations --- Health Care Economics and Organizations --- Geographicals --- Medical Economics --- Public Health --- Health & Biological Sciences --- Cost control --- Healthcare Economics and Organizations --- Science, Social --- Sciences, Social --- Social Science --- Practice, Professional --- Practices, Professional --- Professional Practices --- Mechanism, Reimbursement --- Mechanisms, Reimbursement --- Reimbursement Mechanism --- Capital --- Conditions, Economic --- Consumption --- Cost of Living --- Easterlin Hypothesis --- Economic Conditions --- Economic Factors --- Economic Policies --- Economic Policy --- Economics, Home --- Factors, Economic --- Home Economics --- Household Consumption --- Macroeconomic Factors --- Microeconomic Factors --- Policies, Economic --- Policy, Economic --- Production --- Remittances --- Utility Theory --- Consumer Price Index --- Condition, Economic --- Consumer Price Indices --- Consumption, Household --- Economic Condition --- Economic Factor --- Factor, Economic --- Factor, Macroeconomic --- Factor, Microeconomic --- Factors, Macroeconomic --- Factors, Microeconomic --- Household Consumptions --- Hypothesis, Easterlin --- Index, Consumer Price --- Indices, Consumer Price --- Living Cost --- Living Costs --- Remittance --- Theories, Utility --- Theory, Utility --- Utility Theories --- Community Financing --- Grants --- Organized Financing --- Financing, Community --- Grant --- Community-Based Distribution --- Contraceptive Distribution --- Delivery of Healthcare --- Dental Care Delivery --- Distribution, Non-Clinical --- Distribution, Nonclinical --- Distributional Activities --- Healthcare --- Healthcare Delivery --- Healthcare Systems --- Non-Clinical Distribution --- Nonclinical Distribution --- Delivery of Dental Care --- Health Care Delivery --- Health Care Systems --- Activities, Distributional --- Activity, Distributional --- Care, Health --- Community Based Distribution --- Community-Based Distributions --- Contraceptive Distributions --- Deliveries, Healthcare --- Delivery, Dental Care --- Delivery, Health Care --- Delivery, Healthcare --- Distribution, Community-Based --- Distribution, Contraceptive --- Distribution, Non Clinical --- Distributional Activity --- Distributions, Community-Based --- Distributions, Contraceptive --- Distributions, Non-Clinical --- Distributions, Nonclinical --- Health Care System --- Healthcare Deliveries --- Healthcare System --- Non Clinical Distribution --- Non-Clinical Distributions --- Nonclinical Distributions --- System, Health Care --- System, Healthcare --- Systems, Health Care --- Systems, Healthcare --- Administration and Organization --- Administrative Technics --- Administrative Techniques --- Coordination, Administrative --- Logistics --- Supervision --- Technics, Administrative --- Techniques, Administrative --- Administration --- Administrative Coordination --- Administrative Technic --- Administrative Technique --- Technic, Administrative --- Technique, Administrative --- Physician Practice Management Company --- Practice Management Services --- Management Service, Practice --- Management, Practice --- Managements, Practice --- Practice Management Service --- Practice Managements --- Service, Practice Management --- Clinical practice patterns --- Clinical practice variations --- Medical practice patterns --- Physician profiling --- Physicians' practice patterns --- Practice patterns, Physician --- Profiling, Physician --- Third-Party Payers --- Health Insurance Reimbursement --- Reimbursement, Health Insurance --- Third-Party Payments --- Health Insurance Reimbursements --- Insurance Reimbursement, Health --- Insurance Reimbursements, Health --- Payer, Third-Party --- Payers, Third-Party --- Payment, Third-Party --- Payments, Third-Party --- Reimbursements, Health Insurance --- Third Party Payers --- Third Party Payments --- Third-Party Payer --- Third-Party Payment --- Administration, Health Services --- Health Services --- organization & administration --- Utilization review --- Cost control. --- Health Care Economics --- Health Economics --- Healthcare Economics --- Care Economic, Health --- Economic, Health --- Economic, Health Care --- Economic, Healthcare --- Economics, Health Care --- Health Care Economic --- Health Economic --- Healthcare Economic --- Geography --- Factor, Geographic --- Factors, Geographic --- Geographic Factor --- Geographic Factors --- Geography, Human --- Human Geography --- Northern America --- Geographic Location --- America

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