The provision of primary care: does managed care make a difference?
Drawing on a nationally representative survey of physicians, this paper examines the extent to which physicians split their time between primary care and non-primary care activities and whether managed care makes a difference. We find that managed care does matter: Physicians have been narrowing their scope of practice, and the trend is linked to their involvement with managed care plans. These findings have implications for workforce policy and training, regulation of managed care contracting, and the quality of care.
Simon
C J
CJ
School of Public Health, University of Illinois at Chicago, USA.
White
W D
WD
Gamliel
S
S
Kletke
P R
PR
D006801:Humans; D008329:Managed Care Programs / Q000706:statistics & numerical data*; D008511:Medicine / Q000706:statistics & numerical data*; D011216:Practice Management, Medical / Q000706:statistics & numerical data*; D011320:Primary Health Care / Q000706:statistics & numerical data*; D011787:Quality of Health Care; D013038:Specialization; D013996:Time and Motion Studies; D014481:United States