"Keeping the Faith" and Market Realities
Physicians in an HMO
Bibliographic Data
| ID | 4713657 |
|---|---|
| Authors | Grace Budrys (Public Services Graduate Program Located in Chicago, corresponding author) |
| Year | 1991 |
| Volume | 1 |
| Issue | 4 |
| Pages | 469-496 |
| Publication date | 1991-11-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Qualitative Health Research (JOURNAL) |
| Journal identifiers | ISSN: 1049-7323 • E-ISSN: 1552-7557 |
| Publisher | SAGE Publications Inc (PUBLISHER) |
| DOI | 10.1177/104973239100100405 |
| OpenAlex | W2121533458 |
| Language | EN |
| Citations received | 1 |
| References cited | 34 |
This article examines the efforts of physicians affiliated with prepaid practice groups to overcome negative occupational and, to some extent, societal attitudes about this form of practice. These physicians have responded by constructing a role that is "even more professional" than the one traditionally assumed by physicians; they emphasize patient care and avoid what they consider to be mundane administrative tasks. The surprising negative consequences of this role construction were revealed when the contract between the group practice and the HMO (health maintenance organization) with which the group had an exclusive contract to deliver patient care was dissolved. Although the physicians succeeded in creating a highly professional role for themselves, they lost their patients. The author argues that the model which has traditionally defined medical professionalism contributed to this outcome
Faith · Family medicine · Health care · Health maintenance · Managed care · Medical practice · Political science · Public relations · Healthcare Policy and Management · Healthcare Quality and Management · Law · Medicine · Nursing · Primary Care and Health Outcomes · Psychology
Max Weber
Professionals as workers
The hospital in modern society
The System of Professions
Towards the Proletarianization of Physicians
The Changing Character of the Medical Profession
Variations in Medical Care among Small Areas
A Re-Examination of the Hypothesis of Physician Deprofessionalization
Corporatization and the Social Transformation of Doctoring
Physicians and Social Change
Community Within a Community
Deprofessionalization
The Effect of Bureaucracy on the Professional Autonomy of the Physician
The Patient-Client as a Consumer
Physician Reactions to Malpractice Suits and Cost Containment in Massachusetts
A Prospective Look at the Specialty of Medical Management
The New Occupational Structure
The Professionalization of Everyone
| Unique citing works | 1 |
|---|---|
| Citations per year | 0,03 |
| Citation span | 1993 - 1993 (1) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 1 |