Influence of Client/Colleague Dependence on Physician Performance in Patient Care
Bibliographic Data
| ID | 9101774 |
|---|---|
| Authors | Sang-O Rhee (Governors State University, corresponding author), Roice D Luke (University of Colorado Health), Melissa B Culverwell (University of Colorado Health) |
| Year | 1980 |
| Volume | 18 |
| Issue | 8 |
| Pages | 829-841 |
| Publication date | 1980-08-01 |
| 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 | 10.1097/00005650-198008000-00004 |
| PMID | 7412427 |
| OpenAlex | W2076246549 |
| Language | EN |
| Citations received | 3 |
| References cited | 13 |
The study has attempted to determine how client/colleague dependence influences medical care received by patients. We have tested physician compliance with standards of care according to the degree to which the practice is visible to, and dependent upon, colleagues. Physician performance is measured in terms of compliance with established professional standards in five areas of practice: 1) the quality of medical care; 2) appropriateness of hospital admissions; 3) appropriateness of length of hospital stay; 2) overstays and 5) understays. The sample consisted of 3316 hospital episodes from 22 general hospitals in the state of Hawaii, and the analysis was conducted via multiple-classification analysis (MCA). Specifically, it was found that from the more colleague-dependent physicians, patients received care with: 1) higher scores on an index of quality of care; 2) more justified admissions; 3) more appropriate lengths of stay; 4) fewer overstays; but 5) more understays. These results remained even after adjusting for a number of physician, client and type-of-practice variables. The findings of this study suggest the significant role that the informal structure of physician practice plays in influencing physician performance. Various sociological implications for control of professional practice are discussed in terms of 1) provision of incentives to encourage an increase in the formalization of otherwise informal physician relationships, and 2) tying formal control mechanisms to informal processes of control
Compliance (psychology) · Control (management) · Family medicine · Incentive · Medical care · Quality (philosophy) · Sample (material) · Tying · Healthcare Policy and Management · Medicine · Nursing · Patient Satisfaction in Healthcare · Primary Care and Health Outcomes · Psychology · Social Psychology
Profession of medicine
Frequency of Referral and Patient Characteristics in Group Practice
The Health Maintenance Organization Act of 1973 (P.L. 93-222) and Prepaid Group Practice Plans
Domain of Practice and the Quality of Physician Performance
Utilization of Within-Hospital Services
Determinants of Physician Referral Rates
Social Theory and Social Structure
Insulation from Observability and Types of Social Conformity
Patterns of Referral Among Internists in Private Practice
Professional Power and Professional Effectiveness
Processes of Control in a Company of Equals
Client Control and Medical Practice
| Unique citing works | 3 |
|---|---|
| Citations per year | 0,07 |
| Citation span | 1983 - 1985 (3) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 1 |