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Practice Patterns of Young Physicians, 1997: [75 Largest Metropolitan Statistical Areas in the United States]

Version
v0
Resource Type
Dataset : survey data
Creator
  • Hadley, Jack (Georgetown University. Center for Health Policy Studies)
Other Title
  • Archival Version (Subtitle)
Publication Date
2000-05-17
Funding Reference
  • Robert Wood Johnson Foundation
  • United States Department of Health and Human Services. Agency for Healthcare Research and Quality
Language
English
Free Keywords
health care services; health insurance; Health Maintenance Organizations; job satisfaction; Medicaid; Medicare; patient care; physician practice; physicians; professional ethics
Description
  • Abstract

    This survey reinterviewed a subsample of physicians who responded to the survey PRACTICE PATTERNS OF YOUNG PHYSICIANS, 1991: [UNITED STATES] (ICPSR 6145). Respondents answered questions about their practice arrangements, such as the number of different medical practices that they worked in during the past month, the number of hours spent providing patient care, and the number of patients seen in the past week. They also described the characteristics of their main practice in terms of type of practice setting, practice ownership, number of physicians, percentage of revenues from patients covered by Medicaid and Medicare, share of Medicaid and Medicare revenues from managed care organizations, percentage of patients with no health insurance coverage, and percentage of Black and Hispanic patients. Other information covered whether the practice had a formal mechanism for reviewing clinical practice decisions, whether it had contracted to provide care through a Preferred Provider Organization (PPO), Health Maintenance Organization (HMO), or Independent Practice Arrangement (IPA), whether it was joined with one or more physician practices or was purchased by an insurance company in the past two years, percentage of revenues from PPO, HMO, and IPA arrangements, and whether there were personal financial incentives that favored reducing or expanding services to patients. Additionally, respondents were asked whether contracts or other communications received from insurance plans implied that continued participation in the plans depended upon costs associated with their clinical decisions, or implied that they should not tell patients about restrictions on coverage for medically accepted testing, treatment, or referral options. Other questions probed respondents' career satisfaction, ethical beliefs regarding the practice of medicine, and freedom to practice medicine as they saw fit. The survey also gathered information on determinants of physician compensation, medical specialty, income, marital status, spouse's occupation, and the number of children living with the respondent.
  • Table of Contents

    Datasets:

    • DS1: Dataset
Temporal Coverage
  • Time period: 1997
  • Collection date: 1997
Geographic Coverage
  • United States
Sampled Universe
Allopaths who responded to the survey PRACTICE PATTERNS OF YOUNG PHYSICIANS, 1991: [UNITED STATES] (ICPSR 6145) were located in the 75 largest Metropolitan Statistical Areas/ Primary Metropolitan Statistical Areas in 1991, and worked 20+ hours per week in patient care in 1991. These physicians were under age 52 and had completed 8-17 years of post-residency training at the time of the survey. The allopath sample of the survey PRACTICE PATTERNS OF YOUNG PHYSICIANS, 1991: [UNITED STATES] (ICPSR 6145) had three components: (1) A simple random sample of physicians born in 1952 or later who completed residency training in 1986-1989, (2) an oversample of minority physicians who met the same criteria as the first component, and (3) a simple random sample of physicians who participated in the survey PRACTICE PATTERNS OF YOUNG PHYSICIANS, 1987 (ICPSR 9277).
Sampling
The entire universe was sampled with a 70.7-percent response rate.
Collection Mode
  • The cases in this study can be linked to cases in PRACTICE PATTERNS OF YOUNG PHYSICIANS, 1991: [UNITED STATES] (ICPSR 6145) by matching on the common ID variable CSID.

    The SAS transport file was created using the SAS CPORT procedure.

    The data map is provided as an ASCII file and the codebook is provided as a Portable Document Format (PDF) file.

Availability
Delivery
One or more files in this study are not available for download due to special restrictions; consult the study documentation to learn more on how to obtain the data.
Alternative Identifiers
  • 2829 (Type: ICPSR Study Number)
Relations
  • Is previous version of
    DOI: 10.3886/ICPSR02829.v1
Publications
  • Boulis, A.. The evolution of gender and motherhood in contemporary medicine. Annals of the American Academy of Political and Social Science.596, 172-206.2004.
    • ID: 10.1177/0002716204268923 (DOI)
  • Hadley, Jack, Mitchell, Jean M.. The Growth of Managed Care and Changes in Physicians' Income, Autonomy and Satisfaction, 1991-1997. International Journal of Health Care Finance and Economics.2, (1), 37-50.2002.
    • ID: 10.1023/A:1015397413797 (DOI)
  • Hadley, Jack, Mitchell, J.M., Sulmasy, D.P., Bloche, M.G.. Perceived financial incentives, HMO market penetration, and physicians' practice styles and satisfaction. Health Services Research.34, (1, Pt. 2), 307-321.1999.

Update Metadata: 2015-08-05 | Issue Number: 6 | Registration Date: 2015-06-15

Hadley, Jack (2000): Practice Patterns of Young Physicians, 1997: [75 Largest Metropolitan Statistical Areas in the United States]. Archival Version. Version: v0. ICPSR - Interuniversity Consortium for Political and Social Research. Dataset. https://doi.org/10.3886/ICPSR02829