Professional participation in organizational decision making: Physicians in HMOs

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

“…Moreover, none have looked at the impact of changing patient/ physician relationships, and almost none have looked at the impact of managed care (Hadley and Mitchell 1997). Studies conducted in the last two decades, during which managed care has flourished, suggest that satisfaction may be correlated with self-employment (Baker and Cantor 1993); perceived intellectual rewards (Chuck et al 1993); working in group rather than solo practice (Skolnik et al 1993); control over the work environment and lack of bureaucratic regulations (Chuck et al 1993;Lammers 1992); and, for those working in staff model HMOs, participation in organizational decisions on such issues as hiring, adopting new services, or resolving patient grievances (Barr and Steinberg 1983). Age and sex have not been found correlated with satisfaction.…”