It's about time: Physician's perceptions of time constraints in primary care medical practice in three national healthcare systems

Medical Care

Volumn 48, Issue 2, 2010, Pages 95-100

  Konrad, Thomas R ^a   Link, Carol L ^b   Shackelton, Rebecca J ^b   Marceau, Lisa D ^b   Von Dem Knesebeck, Olaf ^c   Siegrist, Johannes ^d   Arber, Sara ^e   Adams, Ann ^f   McKinlay, John B ^b  

^a UNIVERSITY OF NORTH CAROLINA   (United States)

^b NEW ENGLAND RESEARCH INSTITUTES   (United States)

^c UNIVERSITY OF HAMBURG   (Germany)

^d HEINRICH HEINE UNIVERSITY   (Germany)

^e UNIVERSITY OF SURREY   (United Kingdom)

^f UNIVERSITY OF WARWICK   (United Kingdom)

Author keywords

International health; Physician practice patterns; Primary care

Indexed keywords

ARTICLE; CLINICAL DECISION MAKING; GERMANY; HEALTH CARE QUALITY; HEALTH CARE SYSTEM; MEDICAL PRACTICE; PATIENT CARE; PRIMARY MEDICAL CARE; TIME; UNITED KINGDOM; UNITED STATES; ADULT; AMBULATORY CARE; CLINICAL PRACTICE; CLINICAL TRIAL; COMPARATIVE STUDY; FEMALE; GENERAL PRACTICE; HEALTH CARE ORGANIZATION; HOSPITAL MANAGEMENT; HUMAN; MALE; MIDDLE AGED; MULTICENTER STUDY; ORGANIZATION AND MANAGEMENT; PROFESSIONAL PRACTICE; TIME MANAGEMENT;

ADULT; APPOINTMENTS AND SCHEDULES; FAMILY PRACTICE; FEMALE; GERMANY; GREAT BRITAIN; HEALTH CARE RATIONING; HUMANS; MALE; MIDDLE AGED; OFFICE VISITS; PHYSICIAN'S PRACTICE PATTERNS; PROFESSIONAL AUTONOMY; QUALITY OF HEALTH CARE; TIME MANAGEMENT; UNITED STATES;

EID: 77449138963     PISSN: 00257079     EISSN: None     Source Type: Journal    
DOI: 10.1097/MLR.0b013e3181c12e6a     Document Type: Article

References (18)

1. Potter SJ, McKinlay JB. From a relationship to encounter: an examination of longitudinal and lateral dimensions in the doctor-patient relationship. Soc Sci Med. 2005;61:465-479.
2. Wilson A, Childs S. The relationship between consultation length, process and outcomes in general practice: a systematic review. Br J Gen Pract. 2002;52:1012-1020.
3. Levinson W, Roter DL, Mullooly JP, et al. Physician-patient communication. The relationship with malpractice claims among primary care physicians and surgeons. JAMA. 1997;277:553-559.
4. Mechanic D, McAlpine DD, Rosenthal M. Are patients' office visits with physicians getting shorter? N Engl J Med. 2001;344:198-204.
5. Mechanic D. How should hamsters run? Some observations about sufficient patient time in primary care. BMJ. 2001;323:266-268.
6. Gilchrist VJ, Stange KC, Flocke SA, et al. A comparison of the National Ambulatory Medical Care Survey (NAMCS) measurement approach with direct observation of outpatient visits. Med Care. 2004;42:276-280.
7. Janus K, Amelung VE, Gaitanides M, et al. German physicians "on strike"-shedding light on the roots of physician dissatisfaction. Health Policy. 2007;82:357-365.
8. Linzer M, Konrad TR, Douglas J, et al. Managed care, time pressure, and physician job satisfaction: results from the physician worklife study. J Gen Intern Med. 2000;15:441-450.
9. McMurray JE, Linzer M, Konrad TR, et al; The SGIM Career Satisfaction Study Group. The work lives of women physicians results from the physician work life study. J Gen Intern Med. 2000;15:372-380.
10. Boulis AK, Jacobs JA. An analysis of the impact of gender on physician practice patterns. J Health Soc Policy. 2003;18:57-87.
11. Kvaerner KJ, Aasland OG, Botten GS. Female medical leadership: cross sectional study. BMJ. 1999;318:91-94.
12. Nonnemaker L. Women physicians in academic medicine: new insights from cohort studies. N Engl J Med. 2000;342:399-405. (Pubitemid 30084539)
13. Boente M, von dem Knesebeck, Siegrist J, et al. Women and men with coronary heart disease in three countries: are they treated differently. Women's Health Issues. 2008;18:191-198.
14. McKinlay JB, Link C, Marceau L, et al. How do doctors in different countries manage the same patient? Results of a factorial experiment. Health Serv Res. 2006;41:2182-2201.
15. Bindman AB, Forrest CB, Britt H, et al. Diagnostic scope of and exposure to primary care physicians in Australia, New Zealand, and the United States: cross sectional analysis of results from three national surveys. BMJ. 2007;334:1261-1266.
16. Sturm R. Effect of managed care and financing on practice constraints and career satisfaction in primary care. J Am Board Fam Pract. 2002; 15:367-377.
17. Salmon P, Peters S, Rogers A, et al. Peering through the barriers in GPs' explanations for declining to participate in research: the role of professional autonomy and the economy of time. Fam Pract. 2007;24:269-275.
18. Jürges H. Health Insurance Status and Physician-Induced Demand for Medical Services in Germany: New Evidence form Combined District and Individual Level Data, in SOEP Papers on Multidisciplinary Panel Data Research at DIW Berlin. 2007, German Institute for Economic Research: Berlin. Available at: http://papers.ssrn.com/sol3/papers.cfm? abstract-id=1092811.