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Related Experiment Videos

Fellows identify key issues affecting surgery.

P W Curreri1

  • 1Strategem of Alabama, Inc., Mobile, USA.

Bulletin of the American College of Surgeons
|August 1, 1995
PubMed
Summary
This summary is machine-generated.

Surgeons report decreased income and practice satisfaction due to healthcare system changes, including Medicare fee schedules and managed care. Many surgeons express support for a single-payor system.

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Area of Science:

  • Health Services Research
  • Surgical Practice Management
  • Healthcare Policy

Background:

  • The healthcare delivery system has undergone significant changes impacting surgical practices.
  • Medicare fee schedule implementation and managed care penetration are key influences.

Purpose of the Study:

  • To assess the impact of recent healthcare system changes on surgeons' reimbursement, income, and practice satisfaction.
  • To evaluate surgeons' perceptions of care quality under managed care gatekeeper systems.
  • To gauge surgeon support for a federalized single-payor healthcare system.

Main Methods:

  • Survey of practicing surgeons regarding practice changes, income, satisfaction, and system preferences.
  • Analysis of reported effects of Medicare fee schedule and managed care.
  • Assessment of referral patterns and perceived quality of care.

Main Results:

  • Sixty percent of surgeons reported decreased net practice income since 1992.
  • Fifteen percent of referrals from gatekeeper physicians were perceived to decrease care quality.
  • Forty percent of surgeons showed enthusiasm for a federalized single-payor system.

Conclusions:

  • Healthcare system reforms have negatively impacted surgeons' financial well-being and practice satisfaction.
  • Concerns exist regarding the quality of care influenced by managed care gatekeeper referrals.
  • A significant portion of surgeons are receptive to a single-payor healthcare model.