Background and Methods Views of managed care among academic physicians and medical students in the United States are not well known.
In 1997, we conducted a telephone survey of a national sample of medical students (506 respondents), residents (494), faculty members (728), department chairs (186), directors of residency training in internal medicine and pediatrics (143), and deans (105) at U.S. medical schools to determine their experiences in and perspectives on managed care.
The overall rate of response was 80.1 percent.
Results Respondents rated their attitudes toward managed care on a 0-to-10 scale, with 0 defined as « as negative as possible » and 10 as « as positive as possible ».
The expressed attitudes toward managed care were negative, ranging from a low mean (±SD) score of 3.9±1.7 for residents to a high of 5.0±1.3 for deans.
When asked about specific aspects of care, fee-for-service medicine was rated better than managed care in terms of access (by 80.2 percent of respondents), minimizing ethical conflicts (74.8 percent), and the quality of the doctor-patient relationship (70.6 percent).
With respect to the continuity of care, 52.0 percent of respondents preferred fee-for-service medicine, and 29.3 percent preferred managed care.
For care at the end of life, 49.1 percent preferred fee-for-service medicine, and 20.5 percent preferred managed care.
With respect to care for patients with chronic illness, 41.8 percent preferred fee-for-service care, (...)
Mots-clés Pascal : Soin intégré, Questionnaire, Téléphone, Interne(étudiant), Médecine, Impact environnement, Expérience professionnelle, Perspective, Relation élève enseignant, Centre hospitalier universitaire, Stratégie, Résultat, Etats Unis, Amérique du Nord, Amérique, Homme, Organisation santé, Enseignement
Mots-clés Pascal anglais : Managed care, Questionnaire, Telephone, Resident(student), Medicine, Environment impact, Professional experience, Perspective, Teacher pupil relation, Teaching hospital, Strategy, Result, United States, North America, America, Human, Public health organization, Teaching
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0219167
Code Inist : 002B30A05. Création : 16/11/1999.