title: Physician attitudes and behavior in response to changes in Medicare reimbursement policies.
abstract: BACKGROUND
  Rapidly changing Medicare reimbursement policies since 1983 have affected every primary care physician. This study has attempted to quantify the attitudes and behaviors of Ohio primary care physicians toward these changes.
  
  
  METHODS
  In Ohio, 1758 primary care physicians were surveyed by a mailed questionnaire about their attitudes toward recent changes in Medicare reimbursement policies and the resulting changes in their practices.
  
  
  RESULTS
  More than 80% of respondents termed most Medicare policies as "objectionable" or "very objectionable." Fifty percent were limiting the number of Medicare patients in their practices. Family physicians and physicians who perceived their income to have decreased and their staff workload to have increased were also more likely to limit the number of Medicare patients in their practices.
  
  
  CONCLUSIONS
  Ohio primary care physicians have a negative opinion of Medicare reimbursement policies and have limited their practices significantly as a result.
authors.affiliation: W. W. Knight Family Practice Center, Toledo, OH 43606.
authors.forename: W J
authors.initials: WJ
authors.lastname: Geiger
authors.forename: R A
authors.initials: RA
authors.lastname: Krol
mesh_terms: D000368:Aged; D001291:Attitude of Health Personnel; D006801:Humans; D007388:Internal Medicine / Q000191:economics / Q000706:statistics & numerical data*; D007588:Job Satisfaction; D015442:Medicare Assignment / Q000706:statistics & numerical data; D016345:Medicare Part B / Q000458:organization & administration*; D009820:Ohio; D010821:Physicians, Family / Q000191:economics / Q000706:statistics & numerical data*; D011364:Professional Practice / Q000706:statistics & numerical data / Q000639:trends; D011795:Surveys and Questionnaires; D014481:United States