Baker L C, Cantor J C, Miles E L, Sandy L G
Robert Wood Johnson Foundation, Princeton, NJ 08543.
HMO Pract. 1994 Jun;8(2):53-7.
While much attention has been paid to the effect of managed care on patient outcomes and health care costs, little attention has been focused on the ways in which managed care affects the satisfaction of physicians. Examination of the practice and career satisfaction of 189 young physicians practicing in group and staff model HMOs finds high levels of satisfaction. More than 82% are satisfied with their current practice. The most important factor influencing physician satisfaction appears to be the extent of perceived autonomy. Neither the number of hours worked per week nor yearly income were strongly associated with decreases in satisfaction. The fact that minority and female physicians report less satisfaction with some dimensions of practice raises important issues for HMO physicians and managers.
尽管人们对管理式医疗对患者治疗效果和医疗成本的影响给予了诸多关注，但对于管理式医疗影响医生满意度的方式却很少有人关注。对189名在团体和员工模式健康维护组织（HMO）执业的年轻医生的执业和职业满意度进行调查后发现，他们的满意度很高。超过82%的人对自己目前的执业情况感到满意。影响医生满意度的最重要因素似乎是感知到的自主权程度。每周工作时长和年收入与满意度下降均没有紧密关联。少数族裔和女性医生对某些执业方面的满意度较低，这一事实给HMO的医生和管理人员提出了重要问题。
