title: The effect of commitment to the organization on physicians' familiarity with guidelines for diabetes in managed care organizations.
abstract: Despite continuous efforts, healthcare organizations still find it difficult to influence physicians to follow clinical guidelines. Previous studies have not taken into account the organizational context of the physicians' practice. We conducted a survey of a representative sample of 743 primary care physicians employed in Israel's 2 largest managed care health plans. The findings indicated that "commitment to the health plan" and "perceived monitoring by the health plan" had an independent positive effect on familiarity with guidelines for treating diabetes. We propose that managers of healthcare organizations consider enhancing physicians' commitment to the organization as a means for increasing their adherence with clinical guidelines, thereby improving the quality of care provided to diabetic patients.
authors.affiliation: Smokler Center for Health Policy Research, Myers-JDC-Brookdale Institute, Jerusalem, Israel. revital@jdc.org.il
authors.forename: Revital
authors.initials: R
authors.lastname: Gross
authors.forename: Hava
authors.initials: H
authors.lastname: Tabenkin
authors.forename: Anthony David
authors.initials: AD
authors.lastname: Heymann
authors.forename: Avi
authors.initials: A
authors.lastname: Porath
authors.forename: Boaz
authors.initials: B
authors.lastname: Porter
authors.forename: Ronit
authors.initials: R
authors.lastname: Matzliach
authors.forename: Miriam
authors.initials: M
authors.lastname: Greenstein
mesh_terms: D003920:Diabetes Mellitus / Q000628:therapy*; D005260:Female; D019538:Health Care Surveys; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007557:Israel; D008297:Male; D008329:Managed Care Programs; D008875:Middle Aged; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians'