Oberschachtsiek Dirk, Ehlert Andree
Harz University of Applied Sciences Wernigerode Germany.
Health Sci Rep. 2022 Oct 29;5(6):e866. doi: 10.1002/hsr2.866. eCollection 2022 Nov.
Even 20 years after the introduction of managed care (MC) in Germany, many physicians are skeptical of the concept, hindering its acceptance.
Based on multivariate statistical methods this exploratory study examines how so-called management companies, that is, administrative service providers within MC contracts, can increase physicians' acceptance of MC by offering, for example, day-to-day coordination and administrative tasks.
As a main empirical result, we find support for this hypothesis, that is, that certain physicians evaluate their MC participation according to its prospective administrative support. Based on this, up to four clusters of physicians can be statistically identified in terms of their preferences regarding MC.
As a policy recommendation, we derive from our results that a future focus on the administrative support components of MC is essential to attract certain physician groups to participate in MC.
即使在德国引入管理式医疗（MC）20年后，许多医生仍对这一概念持怀疑态度，这阻碍了它被广泛接受。
基于多变量统计方法，这项探索性研究考察了所谓的管理公司，即在MC合同中的行政服务提供商，如何通过提供日常协调和行政任务等方式来提高医生对MC的接受度。
作为主要实证结果，我们发现该假设得到了支持，即某些医生根据MC预期的行政支持来评估他们参与MC的情况。基于此，根据医生对MC的偏好，在统计学上可识别出多达四类医生群体。
作为一项政策建议，我们从研究结果中得出，未来关注MC的行政支持部分对于吸引特定医生群体参与MC至关重要。
