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020			_z9780833082206 (pbk)
020			_z0833082205 (pbk)
020			_a9780833082213 (e-book)
035			_a(CaPaEBR)ebr11074119
040			_aCaPaEBR _beng _erda _epn _cCaPaEBR
043			_an-us---
050	1	4	_aR690 _b.F75 2013eb
082	0	4	_a610.69 _223
100	1		_aFriedberg, Mark W., _eauthor.
245	1	0	_aFactors affecting physician professional satisfaction and their implications for patient care, health systems, and health policy / _cthe Rand Corporation, Mark W. Friedberg [and nine others] ; American Medical Association, F. Jay Crossen, Michael Tutty ; sponsored by the American Medical Association.
264		1	_aSanta Monica, CA : _bRand Health, American Medical Association, _c[2013]
264		4	_c©2013
300			_a1 online resource (149 pages) : _bcolor illustrations.
336			_atext _2rdacontent
337			_acomputer _2rdamedia
338			_aonline resource _2rdacarrier
490	1		_aResearch report
500			_a"Rand Corporation"--Cover.
504			_aIncludes bibliographical references (pages 117-122).
505	0		_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.
520			_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.
588			_aDescription based on print version record.
590			_aElectronic reproduction. Palo Alto, Calif. : ebrary, 2015. Available via World Wide Web. Access may be limited to ebrary affiliated libraries.
650		0	_aPhysicians _xJob satisfaction _zUnited States.
650		0	_aPhysicians _zUnited States _xAttitudes.
650		0	_aMedicine _xPractice _zUnited States.
650		0	_aMedical care _zUnited States _xQuality control.
655		0	_aElectronic books.
710	2		_aRAND Health, _eissuing body.
710	2		_aRand Corporation, _eissuing body.
710	2		_aAmerican Medical Association, _esponsoring body.
797	2		_aebrary.
830		0	_aResearch report (Rand Corporation)
856	4	0	_uhttp://site.ebrary.com/lib/daystar/Doc?id=11074119 _zAn electronic book accessible through the World Wide Web; click to view
908			_a170314
942	0	0	_cEB
999			_c183901 _d183901