Managed care, primary care, and the patient-practitioner relationship

Managed care and the physician/patient relationship.

Patient satisfaction with nurse practitioner care in primary care.

This quantitative, descriptive pilot study assessed patient satisfaction with care provided by four nurse practitioners using a modified version of the Di Tomasso-Willard Patient Satisfaction Questionnaire. Results indicated high satisfaction with care in all groups, but there were differences among the groups on 26 percent of the items and on three of the five subscales. The implication is tha...

Vulnerability and the patient-practitioner relationship: the roles of gatekeeping and primary care performance.

OBJECTIVES We examined whether patients' perceptions of their relationships with primary care practitioners (PCPs) vary by vulnerability status and assessed the extent to which gatekeeping arrangements and primary care performance moderate potential disparities. METHODS We used the nationally representative 1996-1997 Community Tracking Study Household Survey as our data source. RESULTS Whit...

Managed care and the geriatric patient-physician relationship.

As managed care proliferates in the United States and other countries, its structure has patterned changes in patient-doctor relationships, including those between older patients and their physicians. The physician as gatekeeper now limits the access of the patient to information and services. Patient trust in the physician, essential to an effective patient-doctor relationship, will be damaged...

White coat hypertension: improving the patient–health care practitioner relationship

White coat hypertension is characterized by the variability of a patient's blood pressure measurements between the physician's office and the patient's home environment. A patient with white coat hypertension has high blood pressure levels in the physician's office and normal blood pressure levels in their typical environment. This condition is likely caused by the patient's anxiety within the ...