LEADER 00000cam a2201069Ii 4500 001 ocn861507660 003 OCoLC 005 20210521141309.6 006 m o d 007 cr un||||||||| 008 131025s2013 caua obt 000 0 eng d 019 869853585 020 9780833083623|q(electronic book) 020 0833083627|q(electronic book) 020 9780833082213|q(electronic book) 020 0833082213|q(electronic book) 020 |z9780833082206 020 |z0833082205 035 (OCoLC)861507660|z(OCoLC)869853585 037 22573/ctt4cxzkd|bJSTOR 040 MMU|beng|erda|epn|cMMU|dOCLCO|dOCLCF|dOCLCO|dJSTOR|dEBLCP |dYDXCP|dUIU|dOCLCQ|dCUS|dZCU|dMERUC|dN$T|dLND|dMERER|dIGB |dOCLCO|dIOG|dOCLCO|dOCLCA|dU3W|dOCLCA|dLOA|dBUF|dOCLCO |dCOCUF|dICG|dOCLCO|dD6H|dCN8ML|dSTF|dOCLCQ|dVTS|dAU@ |dOCLCO|dERL|dOCLCO|dOCLCQ|dOCLCO|dICN|dOCLCO|dYOU|dOCLCA |dS9I|dOCLCO|dTKN|dCASUM|dOCLCO|dTXR|dDKC|dOCLCO|dCNTRU |dOCLCO|dOCLCQ|dM8D|dOCLCO|dNJT|dOCLCO|dOCLCQ 043 n-us--- 049 RIDW 050 4 R690 072 7 MED112000|2bisacsh 072 7 MED036000|2bisacsh 072 7 MED104000|2bisacsh 082 04 610.69|223 090 R690 100 1 Friedberg, Mark W.,|0https://id.loc.gov/authorities/names/ no2014033148|eauthor. 245 10 Factors affecting physician professional satisfaction and their implications for patient care, health systems, and health policy /|cthe RAND Corporation: Mark William Friedberg, Peggy G. Chen, Kristin R. Van Busum, Frances Aunon, Chau Pham, John Caloyeras, Soeren Mattke, Emma Pitchforth, Denise D. Quigley, Robert H. Brook ; American Medical Association: F. Jay Crosson, Michael Tutty. 246 1 |iAt head of title:|aResearch Report 246 30 Physician professional satisfaction and their implications for patient care, health systems, and health policy 264 1 Santa Monica, CA :|bRand Corp.,|c2013. 300 1 online resource (150 pages) :|billustrations. 336 text|btxt|2rdacontent 337 computer|bc|2rdamedia 338 online resource|bcr|2rdacarrier 347 data file|2rda 490 1 Research report 500 "Produced within RAND Health, a division of the RAND Corporation." 500 "RR-439-AMA." 504 Includes bibliographical references. 505 0 Introduction -- Background: scan of the literature on physician professional satisfaction -- Methods -- Conceptual model -- Characteristics of the survey sample - - Quality of care -- Electronic health records -- Autonomy and work control -- Practice leadership -- Collegiality, fairness, and respect -- Work quantity and pace -- Work content, allied health professionals, and support staff -- Payment, income, and practice finances -- Regulatory and professional liability concerns -- Health reform -- Conclusions. 520 3 One of the American Medical Association's core strategic objectives is to advance health care delivery and payment models that enable high-quality, affordable care and restore and preserve physician satisfaction. Such changes could yield a more sustainable and effective health care system with highly motivated physicians. To that end, the AMA asked RAND Health to characterize the factors that lead to physician satisfaction. RAND sought to identify high-priority determinants of professional satisfaction that can be targeted within a variety of practice types, especially as smaller and independent practices are purchased by or become affiliated with hospitals and larger delivery systems. Researchers gathered data from 30 physician practices in six states, using a combination of surveys and semistructured interviews. This report presents the results of the subsequent analysis, addressing such areas as physicians' perceptions of the quality of care, use of electronic health records, autonomy, practice leadership, and work quantity and pace. Among other things, the researchers found that physicians who perceived themselves or their practices as providing high-quality care reported better professional satisfaction. Physicians, especially those in primary care, were frustrated when demands for greater quantity of care limited the time they could spend with each patient, detracting from the quality of care in some cases. Electronic health records were a source of both promise and frustration, with major concerns about interoperability between systems and with the amount of physician time involved in data entry. 536 Sponsored by the American Medical Association 588 0 Online resource; title from electronic title page (RAND, viewed on October 25, 2013). 590 JSTOR|bBooks at JSTOR Open Access 590 eBooks on EBSCOhost|bEBSCO eBook Subscription Academic Collection - North America 650 0 Physicians|xJob satisfaction|0https://id.loc.gov/ authorities/subjects/sh94000079|zUnited States.|0https:// id.loc.gov/authorities/names/n78095330-781 650 0 Physicians|zUnited States|0https://id.loc.gov/authorities/ subjects/sh85101628|xAttitudes.|0https://id.loc.gov/ authorities/subjects/sh2002006216 650 0 Medicine|xPractice|zUnited States.|0https://id.loc.gov/ authorities/subjects/sh2008107280 650 0 Medical care|zUnited States|xQuality control.|0https:// id.loc.gov/authorities/subjects/sh2008107278 650 7 Physicians|xJob satisfaction.|2fast|0https:// id.worldcat.org/fast/1062870 650 7 Physicians.|2fast|0https://id.worldcat.org/fast/1062841 650 7 Medicine|xPractice.|2fast|0https://id.worldcat.org/fast/ 1015014 650 7 Medical care.|2fast|0https://id.worldcat.org/fast/1013753 650 7 Quality control.|2fast|0https://id.worldcat.org/fast/ 1084966 650 7 Medical care.|2homoit|0https://homosaurus.org/v3/ homoit0001004 651 2 United States.|0https://id.nlm.nih.gov/mesh/D014481 651 7 United States.|2fast|0https://id.worldcat.org/fast/1204155 655 0 Electronic books. 655 4 Electronic books. 655 7 Electronic books.|2lcgft 655 7 Technical reports.|2lcgft|0https://id.loc.gov/authorities/ genreForms/gf2015026093 655 7 Technical reports.|2fast|0https://id.worldcat.org/fast/ 1941336 700 1 Chen, Peggy G.,|0https://id.loc.gov/authorities/names/ no2015052172|eauthor. 700 1 Van Busum, Kristin R.,|0https://id.loc.gov/authorities/ names/no2013013737|eauthor. 700 1 Aunon, Frances M.,|eauthor. 700 1 Pham, Chau,|eauthor. 700 1 Caloyeras, John P.,|0https://id.loc.gov/authorities/names/ n2013183484|eauthor. 700 1 Mattke, Soeren,|0https://id.loc.gov/authorities/names/ no2009072894|eauthor. 700 1 Pitchforth, Emma,|0https://id.loc.gov/authorities/names/ n2014187961|eauthor. 700 1 Quigley, Denise D.,|0https://id.loc.gov/authorities/names/ n94078500|eauthor. 700 1 Brook, Robert H.|q(Robert Henry),|d1943-|0https:// id.loc.gov/authorities/names/n79026839|eauthor. 700 1 Crosson, Francis J.,|d1945-|0https://id.loc.gov/ authorities/names/n2010180802|eauthor. 700 1 Tutty, Michael,|0https://id.loc.gov/authorities/names/ no2015052078|eauthor. 710 2 RAND Health,|0https://id.loc.gov/authorities/names/ n2001145525|eissuing body. 710 2 American Medical Association,|0https://id.loc.gov/ authorities/names/n50000652|esponsoring body. 776 08 |iPrint version:|tFactors Affecting Physician Professional Satisfaction and Their Implications for Patient Care, Health Systems, and Health Policy.|dSanta Monica, CA : Rand Corp., 2013|z9780833082206|w(OCoLC)860753776 830 0 Research report (Rand Corporation)|0https://id.loc.gov/ authorities/names/no2013072664 856 40 |uhttps://www.jstor.org/stable/10.7249/j.ctt5hhsc5|zOnline ebook. 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