The Organization of Medical Practice and Practice Orientations Among Physicians in Prepaid and Nonprepaid Primary Care Settings
Bibliographic Data
| ID | 9101423 |
|---|---|
| Authors | David Mechanic (corresponding author) |
| Year | 1975 |
| Volume | 13 |
| Issue | 3 |
| Pages | 189-204 |
| Publication date | 1975-03-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/00005650-197503000-00001 |
| PMID | 1113557 |
| OpenAlex | W2062970954 |
| Language | EN |
| Citations received | 34 |
| References cited | 5 |
Data are presented on office-based general practitioners and pediatricians working in varying practice settings. Fee-for-service physicians spend more time in direct patient care activities than those in prepaid practice, and devote more time to each patient. The data suggest that the patient load characteristic of general practice in prepaid groups encourages a more assembly line practice which is less responsive to patients than the pattern characteristic of fee-for-service practice. Prepaid physicians work during scheduled hours and may deal with increased load by processing patients more rapidly. Fee-for-service physicians tend to respond to increased demand by working longer hours. The responsiveness of primary care physicians to patient problems seems to reflect primarily their social orientations to medical practice and the time pressures they face. Varying practice settings result in different techniques of coping with the pressures of practice. Data are also presented on sociodemographic and professional characteristics of primary care physicians in varying settings, workload, use of diagnostic and laboratory procedures, social orientations to medical practice, satisfactions and dissatisfactions, and attitudes toward sociopolitical aspects of medical care. Suggestions are offered for improving the responsiveness of prepaid practice
Business · Family medicine · General practice · Management · Medical care · Medical practice · Primary care · Service (business) · Workload · Healthcare Policy and Management · Medicine · Nursing · Psychology · Social Work
Pay more, get more? The influence of pay on doctors' behaviour
A Timely Partnership
Patients' Evaluation of Family Planning Services
The Growth of HMOs
Factors Associated With Life Satisfaction Among Practicing Internists
Physician Burnout
Interspecialty Variation in Office-Based Care
Time Utilization of a Population of General Surgeons in a Prepaid Group Practice
Physician Turnover in Eight New England Prepaid Group Practices
The Hierarchical Structure of Geriatric Patient Satisfaction
HMO Satisfaction and Understanding Among Recent Medicare Enrollees
Medical Group Practice in the United States
Perceived Physician Humaneness, Patient Attitude, and Satisfaction with the Pill as a Contraceptive
Explaining the Low Use of Health Services by the Poor
Changing Medical Organization and the Erosion of Trust
Sociologic Influences on Decision-Making by Clinicians
Age and Patterns of HMO Satisfaction
Career orientations and the quality of working life among medical interns and residents
Physician Resistance to Innovations
Workload and job satisfaction among general practitioners
Changes in the hours worked by physicians, 1970-80
Dimensions and Correlates of Physician Work Satisfaction in a Midwestern City
Sociology of Health Care Reform
Can't Get No (Dis) Satisfaction
Time, Knowledge, and Power in Psychotherapy
HMO physicians' use of referrals
Physician attitudes toward communication with cancer patients
Professional reimbursement and management of time in general practice
Practitioner productivity and the product content of medical care in publicly supported health centers
The general practitioner's use of time
Financial, organizational and professional factors affecting health care utilization
Non-medical influences on medical decision-making
A physician role typology
Unsung questions of medical ethics
| Unique citing works | 34 |
|---|---|
| Citations per year | 0,68 |
| Citation span | 1976 - 2017 (42) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 20 |