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Patient-physician communication as organizational innovation in the managed care setting.
Am J Manag Care. 2002 Jul; 8(7):622-30.AJ

Abstract

Despite changes in the healthcare system, the relationship between patients and physicians remains fundamental to high-quality care. Managed care rules and restrictions, such as constraints on choice of providers, review processes, and decreasing length of visits, are creating potential conflicts between patients and their physicians. To strengthen the patient-physician relationship, some managed care organizations are implementing communication skills training for physicians. This article provides case studies describing how 2 large managed care organizations successfully incorporated communication skills training into their environments. An organizational perspective is used to delineate the 3 stages--adoption, implementation, and institutionalization--that managed care organizations generally traverse in incorporating communication skills programs and making them an integral part of their organizational culture. Specific suggestions are provided for physician leaders and administrators who are considering similar programs in their settings.

Authors+Show Affiliations

University of Toronto, Department of Medicine, Ontario, Canada. wendy.levinson@utoronto.caNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

12125802

Citation

Levinson, Wendy, et al. "Patient-physician Communication as Organizational Innovation in the Managed Care Setting." The American Journal of Managed Care, vol. 8, no. 7, 2002, pp. 622-30.
Levinson W, D'Aunno T, Gorawara-Bhat R, et al. Patient-physician communication as organizational innovation in the managed care setting. Am J Manag Care. 2002;8(7):622-30.
Levinson, W., D'Aunno, T., Gorawara-Bhat, R., Stein, T., Reifsteck, S., Egener, B., & Dueck, R. (2002). Patient-physician communication as organizational innovation in the managed care setting. The American Journal of Managed Care, 8(7), 622-30.
Levinson W, et al. Patient-physician Communication as Organizational Innovation in the Managed Care Setting. Am J Manag Care. 2002;8(7):622-30. PubMed PMID: 12125802.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Patient-physician communication as organizational innovation in the managed care setting. AU - Levinson,Wendy, AU - D'Aunno,Tom, AU - Gorawara-Bhat,Rita, AU - Stein,Terry, AU - Reifsteck,Sandra, AU - Egener,Barry, AU - Dueck,Rodney, PY - 2002/7/20/pubmed PY - 2002/8/3/medline PY - 2002/7/20/entrez SP - 622 EP - 30 JF - The American journal of managed care JO - Am J Manag Care VL - 8 IS - 7 N2 - Despite changes in the healthcare system, the relationship between patients and physicians remains fundamental to high-quality care. Managed care rules and restrictions, such as constraints on choice of providers, review processes, and decreasing length of visits, are creating potential conflicts between patients and their physicians. To strengthen the patient-physician relationship, some managed care organizations are implementing communication skills training for physicians. This article provides case studies describing how 2 large managed care organizations successfully incorporated communication skills training into their environments. An organizational perspective is used to delineate the 3 stages--adoption, implementation, and institutionalization--that managed care organizations generally traverse in incorporating communication skills programs and making them an integral part of their organizational culture. Specific suggestions are provided for physician leaders and administrators who are considering similar programs in their settings. SN - 1088-0224 UR - https://www.unboundmedicine.com/medline/citation/12125802/Patient_physician_communication_as_organizational_innovation_in_the_managed_care_setting_ DB - PRIME DP - Unbound Medicine ER -