Professional commitment among US physician executives in managed care
This paper examines professional commitment among physician executives working in managed care settings in the United States. The rise of an 'administrative elite' in medicine is central to the notion that physicians preserve their professional dominance despite changes in their prestige, work and employment status. Implicit in the notion of Freidson's restructuring perspective, physician executives presumably remain dedicated to professional interests in their management roles. The findings of a national survey support this assumption. Physician executives maintain meaningful, stable levels of professional commitment over time in management and the organization. This commitment is positively related to work-related characteristics involving favorable perceptions of the management job and physical and mental 'connection' to the practice of medicine. Belief in one's ability to successfully deliver appropriate clinical care, however, moderates the positive association between involvement in the management job and professional commitment. The findings provide a rationale for the maintenance of professional loyalty among physicians in management rooted in the work-related perceptions and activities of the individual physician executive.
Year of publication: |
2000
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Authors: | Hoff, Timothy J. |
Published in: |
Social Science & Medicine. - Elsevier, ISSN 0277-9536. - Vol. 50.2000, 10, p. 1433-1444
|
Publisher: |
Elsevier |
Keywords: | Physician executives Managed care Professional commitment Professional dominance USA |
Saved in:
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