Quality of Patient Care Drives Physician Satisfaction; Doctors Have Concerns About Electronic Health Records
Oct 9, 2013
The American Medical Association asked RAND Health to characterize the factors that affect physician professional satisfaction. RAND researchers sought to identify high-priority determinants of professional satisfaction by gathering 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.
|PDF file||0.8 MB||Best for desktop computers.|
|ePub file||4.3 MB||Best for mobile devices.
On desktop computers and some mobile devices, you may need to download an eBook reader to view ePub files. Calibre is an example of a free and open source e-book library management application.
|mobi file||11.7 MB||Best for Kindle 1-3.
On desktop computers and some mobile devices, you may need to download an eBook reader to view mobi files. Amazon Kindle is the most popular reader for mobi files.
|PDF file||0.2 MB|
Appendix B-E (available on-line only)
|PDF file||1.4 MB|
|Add to Cart||Paperback150 pages||$32.95||$26.36 20% Web Discount|
One 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.
Background: Scan of the Literature on Physician Professional Satisfaction
Characteristics of the Survey Sample
Quality of Care
Electronic Health Records
Autonomy and Work Control
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
Advisory Committee Members
Practice Structural Questionnaire
Physician Experience Survey
Physician Experience Survey Scale Calculation
The research described in this report was sponsored by the American Medical Association, and was produced within RAND Health, a division of the RAND Corporation.
This report is part of the RAND Corporation Research report series. RAND reports present research findings and objective analysis that address the challenges facing the public and private sectors. All RAND reports undergo rigorous peer review to ensure high standards for research quality and objectivity.
This document and trademark(s) contained herein are protected by law. This representation of RAND intellectual property is provided for noncommercial use only. Unauthorized posting of this publication online is prohibited; linking directly to this product page is encouraged. Permission is required from RAND to reproduce, or reuse in another form, any of its research documents for commercial purposes. For information on reprint and reuse permissions, please visit www.rand.org/pubs/permissions.
The RAND Corporation is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.