A descriptive study of managed-care hassles in 26 practices
- 1 March 2001
- journal article
- Published by BMJ in Western Journal of Medicine
- Vol. 174 (3), 175-179
- https://doi.org/10.1136/ewjm.174.3.175
Abstract
Objectives To explore the nature of managed-care hassles in primary care physicians' offices and to determine the feasibility of practice-based research methods to study the problem. Methods 16 internists and 10 family physicians volunteered to collect data about managed-care hassles during or shortly after the office visit for 15 consecutive patients using preprinted data cards. Outcome measures Number of hassles, time required for hassles, and interference with quality of care and doctor-patient relationship. Results Physicians adapted easily to using data cards. Before the pilot study, participants estimated a hassle rate of 10% and thought that interference with quality of care and the doctor-patient relationship was infrequent. Of 376 total visits for which the physicians completed data cards, 23% of visits generated 1 or more hassles. On average, a physician who saw 22 patients daily experienced 1 hassle lasting 10 minutes for every 4 to 5 patients. More than 40% of hassles were reported as interfering with quality of care, the doctor-patient relationship, or both. Conclusions The high hassle rate, in addition to the interference of hassles with quality of care and the doctor-patient relationship, suggests the need for further investigation into managed-care hassles using practice-based research methods.Keywords
This publication has 17 references indexed in Scilit:
- Does managed care restrictiveness affect the perceived quality of primary care? A report from ASPN. Ambulatory Sentinel Practice Network.1999
- Examining American family medicine in the new world order: a study of 5 practices.1999
- Coping with managed care's administrative hassles.1998
- Managed care hassles--a fact of life?1997
- The Impact of Managed Care on Patients' Trust in Medical Care and Their PhysiciansJama-Journal Of The American Medical Association, 1996
- Hassle Hypertension: A Risk of Managed CareJAMA, 1995
- Preserving the Physician-Patient Relationship in the Era of Managed CareJama-Journal Of The American Medical Association, 1995
- Managed care: hassle-free medical practice?. Interview by Amber Stenger.1993
- TMA updates Hassle Factor Log Form.1993
- The weekly return as a practical instrument for data collection in office based research.1988