Effects of HMO market penetration on physicians' work effort and satisfaction

被引:39
作者
Hadley, J
Mitchel, JM
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D O I
10.1377/hlthaff.16.6.99
中图分类号
R19 [保健组织与事业(卫生事业管理)];
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摘要
We investigate whether geographic variations in health maintenance organization (HMO) market penetration are associated with three aspects of physicians' practices: number of hours worked per year, number of patients seen per week, and satisfaction with the current practice. Based on multivariate regression analysis of data for 4,373 patient care physicians (under age forty-five) from a national random sample surveyed in 1991, we estimate that a doubling of the average level of HMO penetration is associated with statistically significant differences of 4 percent fewer annual hours, 13.7 percent fewer patients seen per week, and a 20 percent greater likelihood of not being very satisfied with one's current practice.
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页码:99 / 111
页数:13
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