Changing the nature of physician referral relationships in the US: the impact of managed care
AbstractPrior to the era of managed care in the US, health care delivery was managed by the professional activities of physicians. Managed care replaces management by profession with bureaucratic management structures and oversight, such as utilization review and gatekeeping (required referrals to specialty care). Practically, this means that physicians cannot use the professional relationships that typified practice under fee-for-service medicine, potentially changing not only what physicians do (e.g., order test or not, refer or not), but also how they do what they do. In this paper I look at just one of the changes brought about by managed care: contractual arrangements that require primary care providers to refer patients to a closed panel of specialist physicians. Through an in-depth case study of 45 primary care providers' in the USA who face restricted specialist panels for their managed care patients, but not for their fee-for-service patients, I investigate how the practice of referring is changed by this requirement. First, I use interview data to describe primary care providers general preferences for referral consultants, as well as their views of the referral process and potential barriers in it. Next I present data from all referrals over a four-week period to analyze the extent of referral relationships in actual referrals. Finally, I conclude by discussing some ways that managed care entities can facilitate rather than diminish referral relationships among physicians.
Download InfoIf you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.
Bibliographic InfoArticle provided by Elsevier in its journal Social Science & Medicine.
Volume (Year): 56 (2003)
Issue (Month): 10 (May)
Contact details of provider:
Web page: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description
You can help add them by filling out this form.
CitEc Project, subscribe to its RSS feed for this item.
- Franz Hackl & Michael Hummer & Gerald Pruckner, 2013.
"Old Boys’ Network in General Practitioner’s Referral Behavior,"
NRN working papers
2013-08, The Austrian Center for Labor Economics and the Analysis of the Welfare State, Johannes Kepler University Linz, Austria.
- Franz Hackl & Michael Hummer & Gerald Pruckner, 2013. "Old Boys’ Network in General Practitioner’s Referral Behavior," Economics working papers 2013-10, Department of Economics, Johannes Kepler University Linz, Austria.
- van Wijngaarden, Jeroen D.H. & de Bont, Antoinette A. & Huijsman, Robbert, 2006. "Learning to cross boundaries: The integration of a health network to deliver seamless care," Health Policy, Elsevier, vol. 79(2-3), pages 203-213, December.
- Veinot, Tiffany C. & Bosk, Emily A. & Unnikrishnan, K.P. & Iwashyna, Theodore J., 2012. "Revenue, relationships and routines: The social organization of acute myocardial infarction patient transfers in the United States," Social Science & Medicine, Elsevier, vol. 75(10), pages 1800-1810.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Zhang, Lei).
If references are entirely missing, you can add them using this form.