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Factors associated with physician involvement in care management
T M Waters1, P P Budetti, K S Reynolds
1Center for Health Services Research, The University of Tennessee Health Science Center, Memphis 38163, USA. twaters@utmem.edu
Medical Care
|August 8, 2001
Summary
Physician participation in care management (CM) is enhanced by involvement in implementation, financial incentives, and information systems. Early development phase involvement may hinder later engagement.
Area of Science:
- Healthcare Management
- Health Services Research
- Physician Behavior
Background:
- Growing enthusiasm for care management (CM) has led to numerous guidelines.
- Provider organizations face challenges in securing physician buy-in for CM activities.
Purpose of the Study:
- To empirically investigate factors influencing physician participation in and attitudes toward CM.
- To identify facilitators and barriers to physician engagement in CM.
Main Methods:
- Analysis of data from 1,514 physicians using two-stage Heckman selection bias models.
- Modeling physician attitudes and perceptions of group CM behaviors.
- Examining physician- and group-level controls and CM facilitators.
Main Results:
- Physician participation in CM implementation positively correlated with later engagement.
- Involvement in the development phase showed a negative relationship with later participation.
- Financial incentives and effective management information systems positively influenced attitude and participation.
Conclusions:
- Strategic physician involvement, particularly in the implementation phase, is crucial for CM success.
- Financial incentives and robust information systems can foster physician participation.
- Understanding the optimal timing for physician input in CM development and implementation is essential.
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