| Description |
1 online resource (150 pages) : illustrations. |
| Series |
Research report |
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Research report (Rand Corporation)
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| Note |
"Produced within RAND Health, a division of the RAND Corporation." |
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"RR-439-AMA." |
| Summary |
One of the American Medical Association's core strategic objectives is to advance health care delivery and payment models that enable high-quality, affordable care and restore and preserve physician satisfaction. Such changes could yield a more sustainable and effective health care system with highly motivated physicians. To that end, the AMA asked RAND Health to characterize the factors that lead to physician satisfaction. RAND sought to identify high-priority determinants of professional satisfaction that can be targeted within a variety of practice types, especially as smaller and independent practices are purchased by or become affiliated with hospitals and larger delivery systems. Researchers gathered data from 30 physician practices in six states, using a combination of surveys and semistructured interviews. This report presents the results of the subsequent analysis, addressing such areas as physicians' perceptions of the quality of care, use of electronic health records, autonomy, practice leadership, and work quantity and pace. Among other things, the researchers found that physicians who perceived themselves or their practices as providing high-quality care reported better professional satisfaction. Physicians, especially those in primary care, were frustrated when demands for greater quantity of care limited the time they could spend with each patient, detracting from the quality of care in some cases. Electronic health records were a source of both promise and frustration, with major concerns about interoperability between systems and with the amount of physician time involved in data entry. |
| Bibliography |
Includes bibliographical references. |
| Contents |
Introduction -- Background: scan of the literature on physician professional satisfaction -- Methods -- Conceptual model -- Characteristics of the survey sample -- Quality of care -- Electronic health records -- Autonomy and work control -- Practice leadership -- Collegiality, fairness, and respect -- Work quantity and pace -- Work content, allied health professionals, and support staff -- Payment, income, and practice finances -- Regulatory and professional liability concerns -- Health reform -- Conclusions. |
| Funding |
Sponsored by the American Medical Association |
| Note |
Online resource; title from electronic title page (RAND, viewed on October 25, 2013). |
| Subject |
Physicians -- Job satisfaction -- United States.
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Physicians -- United States -- Attitudes.
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Medicine -- Practice -- United States.
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Medical care -- United States -- Quality control.
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MEDICAL -- Evidence-Based Medicine.
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Medical care -- Quality control.
(OCoLC)fst01013833
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Medicine -- Practice.
(OCoLC)fst01015014
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Physicians -- Attitudes.
(OCoLC)fst01062843
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Physicians -- Job satisfaction.
(OCoLC)fst01062870
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United States. (OCoLC)fst01204155
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Physicians -- psychology.
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Job Satisfaction.
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Professional Practice.
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Electronic Health Records -- utilization.
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Quality of Health Care.
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United States.
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| Added Author |
Chen, Peggy G., author.
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Van Busum, Kristin R., author.
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Aunon, Frances M., author.
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Chucky, 1995- author.
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Caloyeras, John P., author.
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Mattke, Soeren, author.
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Pitchforth, Emma, author.
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Quigley, Denise D., author.
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Brook, Robert H. (Robert Henry), 1943- author.
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Crosson, Francis J., 1945- author.
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Tutty, Michael, author.
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RAND Health, issuing body.
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American Medical Association, sponsoring body.
|
| Note |
At head of title: Research Report |
| Added Title |
Physician professional satisfaction and their implications for patient care, health systems, and health policy |
| Other Form: |
Print version: Factors Affecting Physician Professional Satisfaction and Their Implications for Patient Care, Health Systems, and Health Policy. Santa Monica, CA : Rand Corp., 2013 9780833082206 (OCoLC)860753776 |
| ISBN |
9780833083623 (electronic bk.) |
|
0833083627 (electronic bk.) |
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