title: The managed care world order. The revolution is here.
abstract: What are the belief clashes caused by the shift from a fee-for-service medical setting to a managed care environment? Right now, most physicians are enculturated in the old world order that emphasizes physician autonomy, control, security, and specialness. Physicians feel squeezed--by third-party payers wanting to be involved in the decision-making process of care delivery and by a new focus on teams versus the captain of the ship role. When traditional expectations clash with a changing reality, most people feel stressed. Physicians are no exception. If physicians have clear and realistic expectations, they can better cope with the uncertainties they face. And, the only realistic expectation in the medical profession is increasing uncertainty. Here are 10 predictions of what is happening in the health care industry--a list of the belief clashes that are so unsettling to those practicing medicine.
authors.affiliation: Center for Professional Well-Being, Durham, NC, USA.
authors.forename: J H
authors.initials: JH
authors.lastname: Pfifferling
mesh_terms: D001294:Attitude to Health; D005544:Forecasting; D015276:Health Care Rationing; D008329:Managed Care Programs / Q000458:organization & administration / Q000639:trends*; D015279:Organizational Culture; D011057:Politics; D011216:Practice Management, Medical / Q000592:standards / Q000639:trends*; D011314:Preventive Health Services / Q000458:organization & administration / Q000639:trends; D017009:Professional Autonomy; D014481:United States