Views of managed care: a survey of students, residents, faculty, and deans at medical schools in the United States

Article Abstract:

Many medical students, faculty and deans have a negative attitude toward managed care. Researchers surveyed 506 medical students, 494 medical residents, 728 faculty members and 105 medical school deans. On a scale from 0 to 10, the average scores for managed care ranged from 3.9 among residents to 5 for deans. Most respondents preferred fee-for-service over managed care for specific aspects of medical care, including continuity of care, access to health services, the doctor-patient relationship, end-of-life care and care of chronic illnesses. Many faculty members admitted that they passed their negative assessment of managed care to their students.

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Medical education and managed care

Article Abstract:

The dissatisfaction many doctors feel under managed care plans is an indication that these plans should be changed to reflect the values of the medical profession. A 1999 survey of medical students, medical residents, and medical school faculty and deans found that most preferred a fee-for-service healthcare system over a managed care system. Many doctors believe that managed care systems are at odds with the values of most doctors, such as devotion to individual patients and the autonomy to treat them as the doctor wishes.

Editorial

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Academia's chilly climate for primary care

Article Abstract:

Many medical school faculty members appear to have a negative attitude toward primary care. Researchers interviewed 2,293 medical students, residents, faculty and medical school deans. Most believed that practicing primary care did not require high levels of training. Many also thought that primary care physicians would not be able to manage many serious diseases. Specialists were more likely to have a negative attitude toward primary care. Only 16% of the students had been encouraged to choose a career in primary care.

Education, Family medicine, Study and teaching

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