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Supplementary Table 5.
Clinical Decision Making, Time with Patients, and Continuity and Coordination Among Specialist Physicians with Low or High Participation in Managed Care


  Low Managed Care High Managed Care
1997 1999 2001 1997 1999 2001
Has Clinical Freedom to Make Decisions            
   Medical 80.3a 84.6*a 89.9*# 71.4 78.3*a 87.5*#a
   Surgical 76.3 77.3 86.9*# 69.2 68.7 81.4*#
   All 78.4 81.4* 88.7*# 70.4 74.1* 84.7*#
Can Make Clinical Decisions in the Best Interest of Patients without Reducing Income            
   Medical 74.4 73.8* 85.0*#a 67.4 74.1*a 81.8*#
   Surgical 71.0 69.7 77.8*# 66.4 64.6 77.3*#
   All 72.8 72.0* 82.2*# 66.9 69.9* 79.8*#
Can Maintain Continuing Relationships with Patients            
   Medical 67.5 70.4 78.3*# 54.8 62.5*a 71.5*#
   Surgical 66.2 66.4 74.3*# 53.0 56.8 71.0*#
   All 66.9 68.6 76.6*# 53.9 59.8* 71.2*#
Communication Among Specialists is Sufficient to Ensure Quality of Care            
   Medical 76.5 78.1 79.9 72.1 74.5 74.7
   Surgical 77.1 79.2 81.8# 74.7 74.1 78.8
   All 76.8 78.6 80.6# 73.4 74.3 76.5#
Has Adequate Time to Spend with Patients During Typical Visits            
   Medical 76.7a 69.9*a 71.3#a 66.9a 61.0* 60.8#
   Surgical 80.5 75.4* 76.8 73.0 62.1* 65.3#
   All 78.5 72.3* 73.5# 69.8 61.5* 62.8#

Bold text indicates that estimates for high managed care physicians were statistically significantly different from estimates for low managed care physicians.

* Change from previous survey is statistically significant at p<.05.

# Change from 1997-2001 is statistically significant at p<.05.

a Medical specialists were statistically significantly different from surgical specialists in the same year.

 

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The Center for Studying Health System Change Ceased operation on Dec. 31, 2013.