title: Adjustments to managed health care: pushing against it, going with it, and making the best of it.
abstract: In this qualitative study of managed health care and occupational therapy practice, participants described how their practice had changed, suggested that students be educated to communicate the value of occupational therapy and to navigate corporate medicine, and expressed ethical concerns regarding reimbursement versus therapy goals. In-person, individual, focused interviews were conducted with 25 therapists in the southeastern Atlantic states. Participants' perceptions ofpervasive changes in practice due to managed health care reflected three themes of meaning: the "pushing against it" personal-professional struggle; the "going with it" businesslike perspective, and the "making the best of it" optimistic outlook. These findings provide insight into therapists' occupational adaptation to managed health care.
authors.affiliation: Department of Occupational Therapy, University of Florida, Gainesville 32610-0164, USA. kwalker@hp.ufl.edu
authors.forename: K F
authors.initials: KF
authors.lastname: Walker
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D001291:Attitude of Health Personnel; D005260:Female; D018166:Health Care Reform; D019538:Health Care Surveys; D006801:Humans; D007588:Job Satisfaction; D008297:Male; D008329:Managed Care Programs; D009788:Occupational Therapy / Q000193:education / Q000639:trends*; D011364:Professional Practice; D015144:Southeastern United States