Utilization management effects on physician/patient satisfaction

As managed care becomes a more dominant mode of health care delivery, there is an important need to better understand how managed care actually functions. The purpose of this project is to survey a random sample of primary care physicians and patients in multispecialty groups in California. The sampling frame will be based on physician groups that contract with Healthnet, California's largest network model HMO. Using multivariate methods, they will determine the influence of utilization management (UM) structure and intensity on patient and physician satisfaction using the patient and physician as units of analysis. The study will show how UM structure and intensity are associated with physician satisfaction, controlling for selected group characteristics, such as payer mix and physician characteristics. Several dimensions of patient satisfaction, such as technical quality, interpersonal aspects, and convenience, will be studied to determine their relationship to UM requirements. The results of these research projects will be submitted for publication in national peer reviewed journals. This work has implications for health care delivery, and also for successful recruitment and retention of generalist physicians in primary care settings.

Grant Details

Amount Awarded $197,157.00

Awarded on: 9/29/1994

Time frame: 10/1/1994 - 6/30/1996

Grant Number: 23332


University of California, Los Angeles, David Geffen School of Medicine

10833 LeConte Avenue
Box 951736
Los Angeles, 90095-1736


Eve A. Kerr
Project Director