Physician Satisfaction in a Changing Health Care Environment: The Impact of Challenges to Professional Autonomy, Authority, and Dominance

Warren, Mary Guptill; Weitz, Rose; Kulis, Stephen

doi:10.2307/2676344

Cited by 76 publications

(65 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…15,16 Physician satisfaction also results in less turnover, which contributes to patients' continuity of care, patient satisfaction and retention, and lower administrative costs of recruiting and replacing physicians. 17,18 Dissatisfied physicians also may have more costly practice styles, generating more outpatient procedures and referrals. 12 Because of these associations, provider satisfaction is regarded as 1 of the 4 critical outcomes of health care, along with health status, patient satisfaction, and cost.…”

mentioning

confidence: 99%

“…20,21 In 2 studies, HMO physicians had similar or greater satisfaction than physicians in fee-for-service practice, 22,23 possibly because the clinical autonomy and income of the HMO physicians was satisfactory. 3,9,18,23 Given the mixed evidence about the relationship between managed care and physician satisfaction, our aim was to determine whether physician compensation, financial incentives, and care management tools are associated with primary physician satisfaction. A related aim was to determine whether physician, practice, and office characteristics have stronger or weaker associations with primary physician satisfaction than managed care features.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Managed Care and Primary Physician Satisfaction

Grembowski

Ulrich

Paschane

et al. 2003

The Journal of the American Board of Family Medicine

View full text Add to dashboard Cite

Background:We examined whether physician compensation, financial incentives, and care management tools were associated with primary physician job and referral satisfaction. Our study was guided by a conceptual model of physician satisfaction derived from published evidence.Methods: A cross-sectional survey was performed of 495 primary physicians (family practitioners, general practitioners, general internists) in the Seattle metropolitan area in 1997.Results: Bivariate analyses revealed that salary compensation, productivity bonuses, and withholds for referrals were associated with job and referral dissatisfaction. However, after controlling for physician, practice, and office characteristics, only the association between salary payment and job dissatisfaction remained significant. Practice in offices with more physicians had the strongest association with physician job dissatisfaction.Conclusions: Although managed care features are correlated with physician job and referral dissatisfaction, the source of dissatisfaction may originate from being an employed physician in a large medical group with more physicians, which may be more likely to impose bureaucratic controls that limit physician autonomy.

show abstract

mentioning

confidence: 99%

mentioning

confidence: 99%

Managed Care and Primary Physician Satisfaction

Grembowski

Ulrich

Paschane

et al. 2003

The Journal of the American Board of Family Medicine

View full text Add to dashboard Cite

show abstract

“…This perceived loss of control is likely to cause dissatisfaction with the introduced system. Research findings suggest that autonomy (lack of control) is the strongest predictor of physician and nurses' job satisfaction (Mrayyan, 2004;Warren et al, 1998). In fact, in one particular study, nursing autonomy was positively correlated with better perceptions of the quality of care delivered and higher levels of job satisfaction (Rafferty et al, 2001).…”

Section: Perceived Dissatisfactionmentioning

confidence: 98%

“…This loss of control is further exacerbated by the constraints placed on medical professionals by governmental control and management of healthcare (Warren et al, 1998). Since these changes do not originate from healthcare professionals, but rather from policy makers, physicians and other professionals are likely to resist such changes.…”

Section: Perceived Loss Of Controlmentioning

confidence: 99%

“…He argues that nurses are often dissatisfied with the lack of autonomy and constantly demand for greater autonomy in decision-making (Mrayyan, 2004). Furthermore, Warren et al (1998) commented that: "[P]hysicians have lost control over who become their patients, the terms and content of their work, the equipment and facilities needed for their work, and the amount and rate of remuneration for their labour stemming from federal control and managed healthcare".…”

Section: Perceived Loss Of Controlmentioning

confidence: 99%

See 1 more Smart Citation

An exploratory study of user resistance in healthcare IT

Ngafeeson

Midha

2014

IJEF

View full text Add to dashboard Cite

Abstract:The US healthcare system is clearly experiencing a major transition. By 2015, the healthcare sector is expected to have migrated from a paper record system to a completely electronic health record (EHR) system. The adoption and use of these systems are expected to increase legibility, reduce costs, limit medical errors and improve the overall quality of healthcare. Hence, the US government is investing $70 billion over a 10-year period to facilitate the transition to an electronic system. However, early reports show that physicians and nurses among other health professionals continue to resist the full use of the system. This paper uses the theory of cognitive dissonance to investigate user resistance in HIT. It builds on a Lapointe and Rivard (2005) framework to offer an explanation as to why people resist HITs. A conceptual model is developed and tested. The findings, implications, and limitations of the study are also discussed.

show abstract

Patient-Physician Relationship

Conigliaro¹

2006

JAMA

View full text Add to dashboard Cite

Medical Professionalism in the Changing Health Care Environment 5. Society must provide the appropriate context for delivering health care.Health plans, purchasers, government, clinicians, and patients should all recognize the importance of and provide consistent support for sustained, intimate patient-physician relationships within which physicians can fulfill their ethical obligations to patients.6. All parties to health care delivery should foster an ethical health care environment, including universal access and a reimbursement mechanism that encourages physicians to take the time required to provide and coordinate appropriate care for adult patients throughout the aging process.

show abstract

Physician Satisfaction in a Changing Health Care Environment: The Impact of Challenges to Professional Autonomy, Authority, and Dominance

Cited by 76 publications

References 17 publications

Managed Care and Primary Physician Satisfaction

Managed Care and Primary Physician Satisfaction

An exploratory study of user resistance in healthcare IT

Patient-Physician Relationship

Contact Info

Product

Resources

About