Managed care, primary care, and the patient-practitioner relationship

Forrest, Christopher B.; Shi, Leiyu; Schrader, Sarah von; Ng, Judy

doi:10.1046/j.1525-1497.2002.10309.x

Cited by 45 publications

(39 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Schmittdiel et al (23) found that patients in a large group-model health maintenance organization with the opportunity to select their own PCP were 16 -20% more likely to be satisfied with their care. Forrest et al (29) found that patients who believed they had a greater choice of PCPs tended to rate the patient-PCP relationship more favorably. Although most of these studies focused on the choice of PCP or hospital stay, our study was, to our knowledge, the first to suggest an association between satisfaction with elective surgery and opportunity to choose the hospital for such a procedure.…”

Section: Discussionmentioning

confidence: 99%

Offering patients the opportunity to choose their hospital for total knee replacement: Impact on satisfaction with the surgery

Losina

Plerhoples

Fossel³

et al. 2005

Arthritis & Rheumatism

View full text Add to dashboard Cite

Objective. To describe the extent to which patients were offered a choice between 2 or more hospitals for total knee replacement (TKR); to examine the association between having a choice of hospital for TKR and satisfaction with the surgery; and to identify population groups less likely to be offered a choice. Methods. We studied a population-based sample of 932 Medicare beneficiaries who underwent elective TKR in 2000. We surveyed patients about their participation in choosing a hospital and their satisfaction with surgery. We examined whether lack of hospital choice influenced satisfaction with surgery after adjusting for age, sex, preoperative function, and socioeconomic status.

show abstract

Section: Discussionmentioning

confidence: 99%

Offering patients the opportunity to choose their hospital for total knee replacement: Impact on satisfaction with the surgery

Losina

Plerhoples

Fossel³

et al. 2005

Arthritis & Rheumatism

View full text Add to dashboard Cite

show abstract

“…[16] One study found that having more managed care patients in a physician's panel is associated with lower patient satisfaction with the provider. [17] With the quantity and quality of physician-patient communication being reported as a possible predictor of medical liability claims, [18][19][20] it is possible that physicians with higher managed care involvement are more vulnerable to malpractice claims.…”

Section: Discussionmentioning

confidence: 99%

Managed care, office systems and medical liability risk

Smith

McCool

2015

IJH

View full text Add to dashboard Cite

Objective: Medical liability continues to be a concern among physicians and policy makers. This study examines the interaction among managed care, the systems that physicians put into place in their offices to address managed care demands and their resultant medical liability risks. Methods: A survey instrument based on a conceptual model of risk was mailed to 882 physicians identified by a medical liability insurance company. Multivariate methods were used to compare rates of claims of medical liability with managed care involvement, office systems and risk management techniques. Results: A total of 393 physicians completed a mail survey, with an overall response rate of 45%. Of respondents, 137 had no claims in the prior two years, 109 had only one claim, and 147 had two or more claims. Having a higher percentage of managed care patients was associated with higher risk (p < .01). Changing office systems (p < .05) and spending more time on risk management (p < .01) were associated with lower risk. Specific risk management techniques were not associated with differences in risk. Conclusions: Having more managed care patients is associated with a higher risk of malpractice claims. However, more investment in office systems and risk management can help offset such risks. Unfortunately, this study was unable to provide direction on the most effective office systems or risk management techniques to employ.

show abstract

“…They reflect managed care plan restrictiveness and have been shown to adversely affect the PPR for the general population. 9 We included a payer variable to measure individuals' insurance coverage. It was coded as Medicare, employerbased private insurance, individually purchased private insurance, Medicaid, or uninsured.…”

Section: Methodsmentioning

confidence: 99%

“…9 With this study, we aimed to determine whether patients' perceptions of their PPR vary by vulnerability status (i.e., the likelihood of poor future health because of greater-than-average health care needs) and assess the extent to which gatekeeping arrangements and primary care performance moderate potential disparities.…”

mentioning

confidence: 99%

Vulnerability and the Patient–Practitioner Relationship: The Roles of Gatekeeping and Primary Care Performance

et al. 2003

Self Cite

View full text Add to dashboard Cite

Objectives. We examined whether patients’ perceptions of their relationships with primary care practitioners (PCPs) vary by vulnerability status and assessed the extent to which gatekeeping arrangements and primary care performance moderate potential disparities. Methods: We used the nationally representative 1996–1997 Community Tracking Study Household Survey as our data source. Results. Whites reported better patient–practitioner relationships than minorities. Requirements that patients select a PCP and obtain referral authorization neither reduced nor exacerbated racial disparities in the patient–practitioner relationship. On the other hand, access to and continuity with a PCP substantively reduced disparities, especially for the most vulnerable group. Conclusions. Enhancing primary care performance may reduce some of the barriers to care experienced by vulnerable populations, thereby improving patients’ relationships with their PCPs.

show abstract

Managed care, primary care, and the patient-practitioner relationship

Cited by 45 publications

References 33 publications

Offering patients the opportunity to choose their hospital for total knee replacement: Impact on satisfaction with the surgery

Offering patients the opportunity to choose their hospital for total knee replacement: Impact on satisfaction with the surgery

Managed care, office systems and medical liability risk

Vulnerability and the Patient–Practitioner Relationship: The Roles of Gatekeeping and Primary Care Performance

Contact Info

Product

Resources

About