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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Antecedents of care by physicians.

Satish P Deshpande1, Samir S Deshpande

  • 1Author Affiliations: Department of Management, Western Michigan University (Dr S.P. Deshpande), and Department of Chemistry, Kalamazoo College (Mr S.S. Deshpande), Kalamazoo, Michigan.

The Health Care Manager
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PubMed
Summary

Physicians

Area of Science:

  • Health Services Research
  • Medical Practice Management
  • Physician Quality of Care Studies

Background:

  • Physician perception of quality of care is crucial for healthcare system performance.
  • Understanding factors influencing this perception is essential for targeted improvements.
  • Previous research has explored various aspects, but a comprehensive analysis of physician-reported factors is needed.

Purpose of the Study:

  • To identify and analyze key factors that significantly impact physicians' perception of providing high-quality care.
  • To determine the relative importance of different practice-related and personal factors on perceived quality of care.

Main Methods:

  • Utilized data from the 2008 Health Tracking Physician Survey, a large dataset comprising 4720 physicians.

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  • Employed regression analysis to examine the relationship between various factors and physicians' perception of high-quality care.

    • Main Results:

    • Positive impacts on perceived quality of care included: more time with patients, career satisfaction, use of health information technology, and higher income.
    • Negative impacts included: threat of malpractice lawsuits, higher percentage of revenue from Medicaid, and specific practice types.
    • Time with patients emerged as the most influential factor.

    Conclusions:

    • Physician perception of high-quality care is multifactorial, influenced by both professional and personal elements.
    • Optimizing time with patients, enhancing career satisfaction, and leveraging health information technology are key to improving perceived quality.
    • Addressing concerns like malpractice threats and financial pressures is vital for supporting physicians in delivering quality care.