Managed Care and Primary Physician Satisfaction

Grembowski, David; Ulrich, Cornelia M.; Paschane, David; Diehr, Paula; Katon, Wayne; Martin, Diane P.; Patrick, Donald L.; Velicer, Christine

doi:10.3122/jabfm.16.5.383

Cited by 61 publications

(54 citation statements)

References 37 publications

(36 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Greater time spent on administrative tasks has been shown to be associated with low physician job satisfaction independent of compensation, fi nancial incentives, and care management restrictions, 20 while face-to-face patient time has been shown to affect both patient and physician satisfaction. 1,4,20,21 Because physician compensation is generally visit based, the work outside the examination room is largely uncompensated care and may contribute to physicians' dissatisfaction.…”

Section: Discussionmentioning

confidence: 99%

Time Spent in Face-to-Face Patient Care and Work Outside the Examination Room

Gottschalk

Flocke²

2005

The Annals of Family Medicine

200

128

View full text Add to dashboard Cite

PURPOSE Contrary to physicians' concerns that face-to-face patient time is decreasing, data from the National Ambulatory Medical Care Survey (NAMCS) indicate that between 1988 and 1998, durations of primary care outpatient visits have increased. This study documented how physicians spend time during the workday, including time outside the examination room, and compared observed face-to-face patient care time with that reported in NAMCS.METHODS Using time-motion study techniques, for each of 11 physicians, 2 patient care days were randomly selected and documented by direct observation. Physician time spent on face-to-face patient care and 54 activities outside the examination room were documented. Data represent 12,180 minutes of work and 611 outpatient visits. RESULTSThe average workday duration was 8.6 hours, and face-to-face patient care accounted for 55% of the day. Work outside the examination room relevant to a patient currently being seen averaged 14% of the day. Work related to a patient not physically present accounted for one fi fth (23%) of the workday. The combination of face-to-face time and time spent on visit-specifi c work outside the examination room assessed by direct observation was signifi cantly less than the 2003 NAMCS estimate of visit duration assessed by physician report (13.3 vs 18.7 minutes, P <.001).CONCLUSIONS Nearly one half of a primary care physician's workday is spent on activities outside the examination room, predominately focused on follow-up and documentation of care for patients not physically present. National estimates of visit duration overestimate the combination of face-to-face time and time spent on visit-specifi c work outside the examination room by 41%.

show abstract

Section: Discussionmentioning

confidence: 99%

Time Spent in Face-to-Face Patient Care and Work Outside the Examination Room

Gottschalk

Flocke²

2005

The Annals of Family Medicine

200

128

View full text Add to dashboard Cite

show abstract

“…Numerous studies carried out in several countries showed that there is a significant correlation between income and job satisfaction [15][16][17] . In a study conducted by Bodur in Turkey, it has been demonstrated that income and working conditions were the most important factors for dissatisfaction of health care providers working at public health centres 1) .…”

Section: Discussionmentioning

confidence: 99%

Predictors of Job Satisfaction among Physiotherapists in Turkey

Eker

Tüzün

Daşkapan

et al. 2004

Journal of Occupational Health

View full text Add to dashboard Cite

show abstract

“…In general, physicians felt not satisfied with these two aspects. This was because the referral system did not work properly and the patient did not follow the referral rules too [18]. The finding showed that in PHCs, people came to primary care to ask referral letter to hospital without doing any examination in the primary care, even it is just coughs, colds, flu, fever, or ordinary colds but directly patients asking for referral to secondary health facilities.…”

Section: Discussionmentioning

confidence: 93%

Satisfaction Level of Patients, Physicians, and Private Primary Healthcare Center Managers With Chronic Disease Management Program in Indonesia

Sinuraya

Abdulah

Diantini

et al. 2017

Asian J Pharm Clin Res

View full text Add to dashboard Cite

Objective: Program Pengelolaan Penyakit Kronis (PROLANIS) or Chronic Disease Management Program is a health-care system that was conducted by Healthcare and Social Security Agency in Indonesia to improve patients' quality of life. The objective of this study was to analyze the level of satisfaction of patients, physicians, and private Primary Healthcare Centers (PHCs) with this program, focusing on hypertension care. Methods:This study was conducted in 7 private PHCs in Bandung City, Indonesia. A cross-sectional study was conducted to measure the patient satisfaction with Patient Satisfaction Questionnaire Short Form on 143 PROLANIS patients with hypertension. A total number of 8 physicians and 7 private PHC managers were involved in this study. Level of satisfaction of physicians and private PHC managers were observed using in-depth interviews. Results:The results showed that patient satisfaction was estimated to be 68.52±8.54, which could be interpreted that patient satisfy with PROLANIS. In-depth interviews showed that physicians did not satisfy with PROLANIS due to several factors (e.g., unintegrated prescription systems, lack of medicines, uncompleted laboratory facilities, lack of physicians, unintegrated referral services, and lack of collaboration between primary and secondary health-care system). On the other hand, private PHC managers were quite satisfied with PROLANIS due to its linearity with other activities in private PHCs. Conclusion:Level of satisfaction of patients with PROLANIS is quite good, whereas physicians might not satisfy with this program. In particular, private PHC managers confirmed that they are satisfied with this program.

show abstract

Managed Care and Primary Physician Satisfaction

Cited by 61 publications

References 37 publications

Time Spent in Face-to-Face Patient Care and Work Outside the Examination Room

Time Spent in Face-to-Face Patient Care and Work Outside the Examination Room

Predictors of Job Satisfaction among Physiotherapists in Turkey

Satisfaction Level of Patients, Physicians, and Private Primary Healthcare Center Managers With Chronic Disease Management Program in Indonesia

Contact Info

Product

Resources

About