Patel Maitri, Lyons Genevieve, Fitzgibbon Kara, Webb B Cameron
University of Virginia School of Medicine, 200 Jeanette Lancaster Way, Charlottesville, VA 22903, United States.
University of Virginia Weldon Cooper Center for Public Service, 2400 Old Ivy Road, Charlottesville, VA 22903, United States.
Health Policy Open. 2024 Jul 20;7:100123. doi: 10.1016/j.hpopen.2024.100123. eCollection 2024 Dec 15.
Improving the American healthcare system has consistently predominated the domestic policy agenda in the United States for decades. However, physicians have traditionally played a small role in the U.S. legislative process despite their direct observations of the obstacles that cost, access, and quality can have on their patients and their care. The goal of this study was to examine the relationship between physician political ideological preferences and health policy reform options.
We conducted a cross-sectional survey of 3,001 currently practicing U.S. physicians to predict how self-identification as liberal, moderate, or conservative impacted a physician's policy preferences under the domains of cost, access, and quality.
A total of 536 (18.8%) out of 3,001 physicians responded to the survey. Overall, 32% of physicians identified as liberal, 43% as moderate, and 22% as conservative.
Liberal-identifying physicians favored traditionally liberal reform ideas (a national health plan or public option), while conservative physicians preferred conservative policies (free market optimization). However, variation within political groups and domains of healthcare suggest that no single reform policy will be unanimously supported by every physician within a political group. Nonetheless, physicians are unanimously dissatisfied with the state of our current system, and physician-supported healthcare reform should be a national priority.
几十年来，改善美国医疗体系一直是美国国内政策议程的首要任务。然而，尽管医生直接观察到成本、可及性和质量对患者及其治疗产生的障碍，但他们在传统上在美国立法过程中所起的作用较小。本研究的目的是探讨医生的政治意识形态偏好与卫生政策改革选项之间的关系。
我们对3001名目前执业的美国医生进行了一项横断面调查，以预测自由派、温和派或保守派的自我认同如何影响医生在成本、可及性和质量领域的政策偏好。
3001名医生中共有536名（18.8%）回复了调查。总体而言，32%的医生自认为是自由派，43%是温和派，22%是保守派。
自我认同为自由派的医生倾向于传统的自由派改革理念（国家卫生计划或公共选项），而保守派医生则更喜欢保守政策（自由市场优化）。然而，政治团体内部以及医疗保健领域的差异表明，没有一项改革政策会得到政治团体中每位医生的一致支持。尽管如此，医生们一致对我们当前体系的状况不满，医生支持的医疗改革应该成为国家优先事项。
