+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Effect of compensation method on the behavior of primary care physicians in managed care organizations: evidence from interviews with physicians and medical leaders in Washington State



Effect of compensation method on the behavior of primary care physicians in managed care organizations: evidence from interviews with physicians and medical leaders in Washington State



American Journal of Managed Care 4(2): 209-220



The perceived relationship between primary care physician compensation and utilization of medical services in medical groups affiliated with one or more among six managed care organizations in the state of Washington was examined. Representatives from 67 medical group practices completed a survey designed to determine the organizational arrangements and norms that influence primary care practice and to provide information on how groups translate the payments they receive from health plans into individual physician compensation. Semistructured interviews with 72 individual key informants from 31 of the 67 groups were conducted to ascertain how compensation method affects physician practice. A team of raters read the transcripts and identified key themes that emerged from the interviews. The themes generated from the key informant interviews fell into three broad categories. The first was self-selection and satisfaction. Compensation method was a key factor for physicians in deciding where to practice. Physicians' satisfaction with compensation method was high in part because they chose compensation methods that fit with their practice styles and lifestyles. Second, compensation drives production. Physician production, particularly the number of patients seen, was believed to be strongly influenced by compensation method, whereas utilization of ancillary services, patient outcomes, and satisfaction are seen as much less likely to be influenced. The third theme involved future changes in compensation methods. Medical leaders, administrators, and primary care physicians in several groups indicated that they expected changes in the current compensation methods in the near future in the direction of incentive-based methods. The responses revealed in interviews with physicians and administrative leaders underscored the critical role compensation arrangements play in driving physician satisfaction and behavior.

Please choose payment method:






(PDF emailed within 1 workday: $29.90)

Accession: 045875177

Download citation: RISBibTeXText

PMID: 10178492


Related references

Primary care physician attitudes regarding communication with hospitalists. American Journal of Medicine 111(9b): 15s-20s, 2001

Primary care physicians and their information-seeking behaviour. Scandinavian Journal of Primary Health Care 18(1): 9, 2000

Physician commitment to organized delivery systems. Medical Care 39(7 Suppl 1): I9, 2001

Selection and evaluation of sequential extraction procedures for the determination of phosphorus forms in lake sediment. Journal of Environmental Monitoring 1(1): 51-56, 1999

Compensation monitor. Physician payment may hinge on quality, not quantity, in 2010. Managed Care 9(4): 17-17, 2001

Effect of a tail piece cysteine deletion on biochemical and functional properties of an epidermal growth factor receptor-directed IgA2m(1) antibody. Mabs 5(6): 936-945, 2013

Assessments of laparoscopic-assisted vaginal hysterectomy. Journal of the American Association of Gynecologic Laparoscopists 2(1): 49-56, 1994

The discussion about advance directives: Patient and physician opinions regarding when and how it should be conducted. Archives of Internal Medicine 155(10): 1025-1030, 1995

Colorectal cancer screening by obstetrician-gynecologists. American Journal of Obstetrics and Gynecology 184(6): 1054-1056, 2001

Independent physician associations (IPAs): regaining control of managed care. Missouri Medicine 94(10): 617-620, 1997

Psychiatry in its political and professional contexts: a response to Robin Munro. Journal of the American Academy of Psychiatry and the Law 30(1): 120-125, 2002

Psychiatry in medical practice. Implications for the education of primary care physicians in the era of managed care: Part 1. Psychosomatics 37(6): 502-508, 1996

"Minimum Knowledge" Essential for Primary Care Physicians - Innovaive in Medical Interview at Ambulatory Clinics. Nihon Naika Gakkai Zasshi 97(1): 202-204, 2008

The effect of managed care on surgical rates among individuals filing for workers' compensation. Journal of Occupational and Environmental Medicine 40(7): 623-631, 1998

Effect of mammary secretions on functions of polymorphonuclear leukocytes in pigs. American Journal of Veterinary Research 62(8): 1250-1254, 2001