UPMC Center for High-Value Health Care, 600 Grant St, 40th Floor, Pittsburgh, PA 15219. Email:
Am J Manag Care. 2019 Jul 1;25(7):e211-e218.
Physician satisfaction is associated with patient satisfaction, adherence to treatment recommendations, and quality. However, burnout is prevalent, and physician experience with health plans is likely a key contributor. We explored physician satisfaction with health plans and assessed physician and plan characteristics associated with greater satisfaction.
Cross-sectional analysis of physician satisfaction surveys for US health plans in 2016.
We assessed the association between health plan/physician characteristics and physician satisfaction domains using multivariable linear regression. The following satisfaction domains were outcomes of interest, measured by 5-point Likert scales: overall health plan rating, finance, utilization/quality management, network/care coordination, pharmacy, call center, provider relations, and recommendation of the plan to others' practices.
We analyzed surveys from 3158 physicians on 74 health plans, representing a 12.6% response rate. We observed highest satisfaction in overall plan rating, finance, and call center domains (adjusted means = 3.25) and lowest satisfaction in the pharmacy domain (adjusted mean = 3.02). The largest and smallest plans and vertically integrated plans had the highest satisfaction; 76% and 66% of physicians recommended vertically integrated plans and non-vertically integrated plans, respectively, to others (P <.001). Solo practitioners rated overall plan rating, finance, utilization/quality management, and pharmacy domains more favorably than did physicians in larger practices, whereas primary care physicians rated overall plan rating, finance, and utilization/quality management more favorably than did specialists.
Our findings demonstrate opportunity to improve physician satisfaction with health plans, specifically in pharmacy/formulary management. As provider satisfaction is increasingly recognized as a critical outcome, our findings highlight intervention targets.
医生满意度与患者满意度、治疗建议的依从性和医疗质量相关。然而，医生 burnout 现象普遍存在，而医生对健康计划的体验可能是一个关键因素。我们探讨了医生对健康计划的满意度，并评估了与更高满意度相关的医生和计划特征。
对 2016 年美国健康计划医生满意度调查的横断面分析。
我们使用多变量线性回归分析了健康计划/医生特征与医生满意度领域之间的关系。以下满意度领域是我们感兴趣的结果，通过 5 点李克特量表进行衡量：整体健康计划评分、财务、利用/质量管理、网络/护理协调、药房、呼叫中心、医患关系以及向他人推荐该计划。
我们分析了来自 74 家健康计划的 3158 名医生的调查，响应率为 12.6%。我们观察到在整体计划评分、财务和呼叫中心领域的满意度最高（调整后的平均值为 3.25），而在药房领域的满意度最低（调整后的平均值为 3.02）。最大和最小的计划以及垂直整合的计划的满意度最高；76%和 66%的医生分别向他人推荐垂直整合计划和非垂直整合计划（P <.001）。与大型医疗机构的医生相比，个体执业医生对整体计划评分、财务、利用/质量管理和药房领域的评价更为有利，而初级保健医生对整体计划评分、财务和利用/质量管理的评价更为有利。
我们的研究结果表明，有机会提高医生对健康计划的满意度，特别是在药房/处方管理方面。由于提供者满意度越来越被认为是一个关键的结果，我们的研究结果强调了干预的目标。
