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Professional commitment among US physician executives in managed care.

T J Hoff1

  • 1Department of Health Policy, Management and Behavior, School of Public Health, University at Albany, SUNY, Rensselaer, NY 12144-3456, USA. thoff@cnsvax.albany.edu

Social Science & Medicine (1982)
|March 31, 2000
PubMed
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Physician executives in managed care show stable professional commitment. This loyalty is linked to job satisfaction and connection to medicine, moderated by clinical confidence.

Area of Science:

  • Medical Management
  • Physician Executive Studies
  • Healthcare Administration

Background:

  • The rise of an administrative elite in medicine challenges traditional physician roles.
  • Physician executives are presumed to maintain professional interests despite organizational changes.
  • Freidson's restructuring perspective suggests continued physician dedication in management.

Purpose of the Study:

  • To examine professional commitment among physician executives in US managed care.
  • To assess the relationship between management roles and physician loyalty.
  • To understand factors influencing physician executives' commitment to their profession.

Main Methods:

  • National survey of physician executives in managed care settings.
  • Analysis of professional commitment levels over time.

Related Experiment Videos

  • Investigation of work-related characteristics and their impact on commitment.

    • Main Results:

    • Physician executives exhibit stable and meaningful professional commitment.
    • Commitment is positively associated with job perceptions and connection to medicine.
    • Clinical self-efficacy moderates the link between management involvement and commitment.

    Conclusions:

    • Physician executives maintain professional loyalty in management roles.
    • Work perceptions and connection to medical practice are key drivers of commitment.
    • Physician executives' commitment is rooted in their professional activities and perceptions.