Geiger W J, Krol R A
W. W. Knight Family Practice Center, Toledo, OH 43606.
J Fam Pract. 1991 Sep;33(3):244-8.
Rapidly changing Medicare reimbursement policies since 1983 have affected every primary care physician. This study has attempted to quantify the attitudes and behaviors of Ohio primary care physicians toward these changes.
In Ohio, 1758 primary care physicians were surveyed by a mailed questionnaire about their attitudes toward recent changes in Medicare reimbursement policies and the resulting changes in their practices.
More than 80% of respondents termed most Medicare policies as "objectionable" or "very objectionable." Fifty percent were limiting the number of Medicare patients in their practices. Family physicians and physicians who perceived their income to have decreased and their staff workload to have increased were also more likely to limit the number of Medicare patients in their practices.
Ohio primary care physicians have a negative opinion of Medicare reimbursement policies and have limited their practices significantly as a result.
自1983年以来，医疗保险报销政策迅速变化，影响了每一位初级保健医生。本研究试图量化俄亥俄州初级保健医生对这些变化的态度和行为。
在俄亥俄州，通过邮寄问卷对1758名初级保健医生进行了调查，询问他们对医疗保险报销政策近期变化的态度以及由此导致的他们行医方式的变化。
超过80%的受访者称大多数医疗保险政策“令人反感”或“非常令人反感”。50%的人在限制其行医中医疗保险患者的数量。家庭医生以及那些认为自己收入减少且员工工作量增加的医生也更有可能限制其行医中医疗保险患者的数量。
俄亥俄州的初级保健医生对医疗保险报销政策持负面看法，并因此大幅限制了他们的行医方式。
