Obstetrician-gynecologists as primary care physicians : The perspectives of health maintenance organization medical directors and obstetrician-gynecologists.
To survey the interest of obstetrician-gynecologists in serving as primary care physicians and their perceived preparedness for that role from the view points of managed care plans and obstetrician-gynecologists.
A sample of obstetrician-gynecologists was asked to describe their preferred physician roles in managed care plans.
Managed care medical directors were asked to define the obstetrician-gynecologist's role in their health plans.
The mailed survey questions focused on 1) obstetrician-gynecologists'interest in serving as primary care physicians and/or gatekeepers, 2) direct access to obstetrician-gynecologists, and 3) additional training needed to serve as primary care physicians.
Thirty-seven percent of obstetrician-gynecologists expressed little or no interest in serving as primary care physicians, and 37% had some or high interest.
Fifty-six percent were not interested in serving as gatekeepers, and 45% believed that physicians in the specialty should not do so.
Almost all believed women should be allowed direct access to obstetrician-gynecologists.
Over half of the managed care plans allowed women to refer themselves to obstetrician-gynecologists, and one-third allowed these physicians to serve as primary care gatekeepers.
Most plans believed that extensive additional training is needed for obstetrician-gynecologists to serve as gatekeepers, whereas 70% of specialists believed that little or no additional training is needed. (...)
Mots-clés Pascal : Médecin, Gynécologie, Obstétrique, Soin santé primaire, Pratique professionnelle, Enquête opinion, Formation professionnelle, Homme, Femelle
Mots-clés Pascal anglais : Physician, Gynecology, Obstetrics, Primary health care, Professional practice, Opinion inquiry, Occupational training, Human, Female
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0428444
Code Inist : 002B30A05. Création : 19/12/1997.