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  1. What do managed care plans do to affect care ? results from a survey of physicians.

    Article - En anglais

    Traduction en français : Est-ce que les plans de gestions de soins ont un effet sur les soins : résultats d'une enquête réalisée auprès de médecins.

    Little is know about physicians'exposure to managed care techniques that affect clinical pratice.

    In 1995, we conducted a survey of 2,003 U.S. physicians asking them about their share of patients subject to a variety of managed care techniques.

    Nationally, 24% of physicians received some form of capitation payment for their patients.

    The two most widely used techniques were utilization review (UR), applied to an average of 59% of patients, and discounted fees, applied to an average of 38% of patients.

    Although UR was common, ultimate denial rates of coverage were very low : at most 3% for the types of care studied.

    Use of managed care techniques varied more within states than between states.

    Conventional measures of HMO market penetration revealed little about how managed care affects physicians.

    Mots-clés Pascal : Médecin, Pratique professionnelle, Rémunération, Enquête, Etats Unis

    Mots-clés Pascal anglais : Physician, Professional practice, Remuneration, Survey, United States

    Notice produite par :
    CREDES - Centre de Recherche, d'Etudes et de Documentation en Economie de la Santé (devenu IRDES)

    Cote : 14547

    Code Inist : 002B30A11. Création : 24/03/1998.