This qualitative descriptive case study explored the perceptions of physicians from five different organizational models on contemporary health delivery problems associated with patient access, quality care management, the use of electronic medical records, obstacles to providing care in an ambulatory care setting, medical practice profitability, and the impact of healthcare reform legislation. Although physicians are the single largest determinant of healthcare expenditures, there is scant published research on how physicians perceive their position in the hierarchy of healthcare delivery systems. Findings among the five different organizational models were remarkably consistent across physician groups. Treating the uninsured, low government reimbursements, and the cost of defensive medicine were most often cited as the biggest problems in providing quality medical care. The results of this research may provide an understanding of how physicians function within a group practice environment to contain healthcare costs, improve community health statuses, and enhance personal professional satisfaction.
|School:||University of Phoenix|
|School Location:||United States -- Arizona|
|Source:||DAI-B 71/11, Dissertation Abstracts International|
|Subjects:||Management, Commerce-Business, Health care management|
|Keywords:||California, EMRs, Economic effectiveness, Integrated health care system, Physician cultures, Physician organizations|
Copyright in each Dissertation and Thesis is retained by the author. All Rights Reserved
The supplemental file or files you are about to download were provided to ProQuest by the author as part of a
dissertation or thesis. The supplemental files are provided "AS IS" without warranty. ProQuest is not responsible for the
content, format or impact on the supplemental file(s) on our system. in some cases, the file type may be unknown or
may be a .exe file. We recommend caution as you open such files.
Copyright of the original materials contained in the supplemental file is retained by the author and your access to the
supplemental files is subject to the ProQuest Terms and Conditions of use.
Depending on the size of the file(s) you are downloading, the system may take some time to download them. Please be