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General practitioners and the independent contractor status.

The Journal of the Royal College of General Practitioners

|December 1, 1977

Summary

Independent contractors, such as general practitioners and pharmacists, are best suited for providing primary medical care. Behavioral science perspectives reveal the advantages of this model over bureaucratic organizations.

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Area of Science:

Health Services Research
Behavioral Science
Medical Economics

Background:

Primary medical care delivery models include bureaucratic organizations and independent contractors.
Most healthcare professionals (medicine, nursing, social work) are in bureaucracies.
General practitioners, dentists, opticians, and pharmacists operate as independent contractors.

Purpose of the Study:

To analyze the independent contractor model for primary medical care provision.
To counter criticisms of the independent contractor status in healthcare.
To demonstrate the benefits of independent contracting using behavioral science.

Main Methods:

Analysis of primary medical care delivery systems.
Application of behavioral science perspectives.
Examination of the independent contractor status in healthcare.

Main Results:

The independent contractor model offers advantages not immediately apparent.
Behavioral science reveals hidden depths supporting the independent contractor status.
Contracting for services is an effective method for arranging medical care.

Conclusions:

The independent contractor model is the optimal structure for primary medical care.
Behavioral science supports the efficacy and benefits of independent contracting.
The current trend attacking independent contractors should be reconsidered.

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