Context. - Managed care and capitation have placed new responsibilities on primary care physicians, including formally acting as « gatekeepers » for specialty services and tests.
Previous studies have not examined whether primary care physicians who provide services to patients under many coverage arrangements feel differently about caring for patients covered under capitation vs those covered through more traditional forms of insurance.
An understanding of whether California primary care physicians feel that they deliver a different level of quality to capitated patients could help signal whether variations in care for patients with different coverage forms are evolving.
- To evaluate whether primary care physicians in California capitated groups report different satisfaction levels with quality of care for patients in their overall practice than for patients covered by capitated contracts and to examine whether physicians'satisfaction with capitated care quality is influenced by the characteristics of the practice setting.
- Cross-sectional questionnaire.
- A total of 89 Califomia physician groups with capitated contracts.
- A total of 910 primary care physicians (80% response rate).
- Satisfaction with 4 aspects of quality of care provided to patients covered by capitated contracts vs patients overall. (...)
Mots-clés Pascal : Soin santé primaire, Satisfaction, Médecin généraliste, Qualité, Californie, Etats Unis, Amérique du Nord, Amérique, Cabinet groupe, Questionnaire, Etude transversale, Evaluation, Homme
Mots-clés Pascal anglais : Primary health care, Satisfaction, General practitioner, Quality, California, United States, North America, America, Group practice, Questionnaire, Cross sectional study, Evaluation, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0011713
Code Inist : 002B30A01A2. Création : 17/04/1998.