LEADER 04527nam 2200661 450 001 9910220153203321 005 20230803024443.0 010 $a0-8330-8362-7 010 $a0-8330-8221-3 035 $a(CKB)2560000000365925 035 $a(EBL)2080845 035 $a(SSID)ssj0001517065 035 $a(PQKBManifestationID)11887262 035 $a(PQKBTitleCode)TC0001517065 035 $a(PQKBWorkID)11518198 035 $a(PQKB)11098880 035 $a(Au-PeEL)EBL2080845 035 $a(CaPaEBR)ebr11074119 035 $a(OCoLC)861507660 035 $a(MiAaPQ)EBC2080845 035 $a(EXLCZ)992560000000365925 100 $a20140516h20132013 uy| 0 101 0 $aeng 135 $aurcnu|||||||| 181 $ctxt 182 $cc 183 $acr 200 10$aFactors affecting physician professional satisfaction and their implications for patient care, health systems, and health policy /$fthe Rand Corporation, Mark W. Friedberg [and nine others] ; American Medical Association, F. Jay Crossen, Michael Tutty ; sponsored by the American Medical Association 210 1$aSanta Monica, CA :$cRand Health, American Medical Association,$d[2013] 210 4$dİ2013 215 $a1 online resource (149 p.) 225 1 $aResearch report 300 $a"Rand Corporation"--Cover. 311 $a0-8330-8220-5 320 $aIncludes bibliographical references (pages 117-122). 327 $aIntroduction -- Background : scan of the literature on physician professional satisfaction -- Methods -- Conceptual model -- Characteristics of the survey sample -- Quality of care -- Electronic health records -- Autonomy and work control -- Practice leadership -- Collegiality, fairness, and respect -- Work quantity and pace -- Work content, allied health professionals, and support staff -- Payment, income, and practice finances -- Regulatory and professional liability concerns -- Health reform -- Conclusions. 330 $aOne of the American Medical Association's core strategic objectives is to advance health care delivery and payment models that enable high-quality, affordable care and restore and preserve physician satisfaction. Such changes could yield a more sustainable and effective health care system with highly motivated physicians. To that end, the AMA asked RAND Health to characterize the factors that lead to physician satisfaction. RAND sought to identify high-priority determinants of professional satisfaction that can be targeted within a variety of practice types, especially as smaller and independent practices are purchased by or become affiliated with hospitals and larger delivery systems. Researchers gathered data from 30 physician practices in six states, using a combination of surveys and semistructured interviews. This report presents the results of the subsequent analysis, addressing such areas as physicians' perceptions of the quality of care, use of electronic health records, autonomy, practice leadership, and work quantity and pace. Among other things, the researchers found that physicians who perceived themselves or their practices as providing high-quality care reported better professional satisfaction. Physicians, especially those in primary care, were frustrated when demands for greater quantity of care limited the time they could spend with each patient, detracting from the quality of care in some cases. Electronic health records were a source of both promise and frustration, with major concerns about interoperability between systems and with the amount of physician time involved in data entry--$cSource other than Library of Congress. 410 0$aResearch report (Rand Corporation) 606 $aPhysicians$xJob satisfaction$zUnited States 606 $aPhysicians$zUnited States$xAttitudes 606 $aMedicine$xPractice$zUnited States 606 $aMedical care$zUnited States$xQuality control 615 0$aPhysicians$xJob satisfaction 615 0$aPhysicians$xAttitudes. 615 0$aMedicine$xPractice 615 0$aMedical care$xQuality control. 676 $a610.69 700 $aFriedberg$b Mark W.$0924634 712 02$aRAND Health, 712 02$aRand Corporation, 712 02$aAmerican Medical Association, 801 0$bMiAaPQ 801 1$bMiAaPQ 801 2$bMiAaPQ 906 $aBOOK 912 $a9910220153203321 996 $aFactors affecting physician professional satisfaction and their implications for patient care, health systems, and health policy$92075495 997 $aUNINA