title: Physician Satisfaction in Practices That Transformed Into Patient-Centered Medical Homes: A Statewide Study in New York.
abstract: Patient-centered medical home (PCMH) transformation can significantly affect physicians' job satisfaction, which in turn can affect the quality of patient care. Between November 2012 and March 2013, the study team surveyed 159 community-based physicians in 159 practice sites that had experienced PCMH practice transformations in New York State. Of the 159 physicians, 121 responded (77% response rate) to the online survey. Nearly two thirds (60%) of physicians reported being somewhat or very satisfied overall with their practice after PCMH transformation. Overall satisfaction was lower than satisfaction with specific domains of practice: patient-centered care (82%), coordination of care (81%), access to care (79%), efficiency (76%), organizational culture (69%), and quality (69%). Although the physicians were moderately satisfied with care quality in their practices after PCMH transformation, their overall satisfaction was notably lower. The findings reveal a need to identify factors beyond quality for measuring physician satisfaction in PCMH transformed practices.
authors: Weill Cornell Medical College, New York, NY jor2032@med.cornell.edu.
authors: Joshua E
authors: JE
authors: Richardson
authors: Weill Cornell Medical College, New York, NY.
authors: Lisa M
authors: LM
authors: Kern
authors: Weill Cornell Medical College, New York, NY.
authors: Michael
authors: M
authors: Silver
authors: Weill Cornell Medical College, New York, NY.
authors: Hye-Young
authors: HY
authors: Jung
authors: Weill Cornell Medical College, New York, NY.
authors: Rainu
authors: R
authors: Kaushal
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D005260:Female; D006801:Humans; D007588:Job Satisfaction; D008297:Male; D008875:Middle Aged; D009518:New York; D018802:Patient-Centered Care / Q000379:methods / Q000458:organization & administration*; D010820:Physicians / Q000523:psychology*; D011331:Private Practice / Q000458:organization & administration; D011787:Quality of Health Care / Q000458:organization & administration
keywords: health services research; job satisfaction; patient-centered care; primary health care; quality assurance