Prepaid Entitlements: A New Challenge for Physician-Patient Relationships
Schroeder, James L.
Clarke, John T.
Webster, James R.
JAMA. 1985 Dec 6; 251(21): 3080-3082.
The transition from a fee-for-service model to a prepaid health care system can sometimes result in stresses for both physicians and patients. Both could feel trapped as patients approach the system with objectives that may be unrealistic, while physicians feel threatened or suspect that patients are abusing the services. Based on their experience in a large multispecialty academic group practice, the authors have developed management strategies to improve the physician patient relationship in prepaid care settings. These include review of marketing efforts, patient education to foster realistic expectations, a policy for dealing with dissatisfied patients and physicians, a strong central administrative physician to resolve differences of opinion, and continuing physician orientation and education to improve judgment and attitudes. (KIE abstract)
Administrators; Attitudes; Economics; Education; Health; Health Care; Health Care Delivery; Health Maintenance Organizations; Marketing; Organizations; Patient Compliance; Patient Education; Patients; Physician Patient Relationship; Physician's Role; Physicians; Professional Patient Relationship; Psychological Stress; Remuneration; Review;