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Evolving dissatisfaction among primary care physicians.

Bruce E Landon1, Robert Aseltine, James A Shaul

  • 1Department of Health Care Policy, Harvard Medical School, Boston, MA 02115, USA. landon@hcp.med.harvard.edu

The American Journal of Managed Care
|October 25, 2002
PubMed
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Physician dissatisfaction with managed care plans significantly increased between 1996 and 1999. This trend impacts practice satisfaction and may affect the future physician workforce.

Area of Science:

  • Medical practice management
  • Physician workforce trends
  • Healthcare policy analysis

Background:

  • Managed care plans significantly influence physician practice environments.
  • Physician career satisfaction is a critical factor in healthcare delivery.
  • Understanding trends in physician satisfaction is essential for healthcare system stability.

Purpose of the Study:

  • To examine trends in career satisfaction among physicians working with managed care plans.
  • To identify factors associated with physician dissatisfaction in managed care settings.
  • To assess the implications of physician dissatisfaction on the medical workforce.

Main Methods:

  • Cross-sectional surveys administered in 1996 and 1999 to primary care physicians (PCPs) in Massachusetts.

Related Experiment Videos

  • Assessment of physician ratings for overall practice satisfaction and satisfaction with managed care.
  • Multivariable modeling to identify predictors of physician dissatisfaction.

    • Main Results:

    • Physician dissatisfaction with practice situations increased from 19.8% to 33.4% (P < .001).
    • Overall dissatisfaction with managed care rose from 28.3% to 62.2% (P < .001).
    • Restricted hospital choice and significant managed care influence on practice were linked to higher dissatisfaction.

    Conclusions:

    • Primary care physicians in Massachusetts report escalating dissatisfaction with their practices and managed care.
    • Declining physician satisfaction poses risks to the quality of patient care and the attractiveness of medical careers.
    • Addressing physician dissatisfaction is crucial for maintaining a robust healthcare workforce.