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  1. Dermatologists in kaiser permanente-Northern California satisfaction, perceived constraints, and policy options.

    Article - En anglais

    Background and Design 

    A survey was conducted in a large closed-panel health maintainance organization to identify and understand influences on dermatologists'job satisfaction and preferences for policies affecting management of routine dermatologic care.

    Of the population of 98 dermatologists, 91 (93%) responded.

    The main variables of interest were current and ideal practice characteristics (time allocations and case mix) and (dis) agreement with 4 statements :

    • (1) I am satisfied with my job ;

    • (2) I favor a direct access model over a gatekeeper model for patients seeking dermatologic care ;

    • (3) I favor training primary care physicians to evaluate and treat routine dermatologic problems ;

    • and (4) I welcome incorporating nurse practitioners and physician extenders into my practice.

    Results 

    The dermatologists currently spend 86% of their work time providing patient care.

    On average, 70% of their caseload involves routine problems ; 56% would ideally increase the complexity mix of their patients.

    The survey reveals gender differences in perceptions of time constraints and opportunities for professional development.

    Most dermatologists (88%) report they are satisfied with theirjobs.

    Satisfaction correlates strongly with their perceived ability to deliver excellent care, use their skills, and develop new skills (correlations, 0.53-0.59). (...)

    Mots-clés Pascal : Soin intégré, Dermatologie, Californie, Etats Unis, Amérique du Nord, Amérique, Etude statistique, health maintenace organization

    Mots-clés Pascal anglais : Managed care, Dermatology, California, United States, North America, America, Statistical study, health maintenance organization

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0510923

    Code Inist : 002B08J. Création : 13/02/1998.