Tag managed care

Entries 3 Total

Health Care Institutions, Communication, and Physicians’ Experience of Managed Care A Multilevel Analysis

Dec 30, ’10 2:21 AM

In this piece published in Management Communication Quarterly in 2007, we argued using multilevel modeling that the quality of communication between managed care representatives and physicians and physicians’ institutional beliefs about what makes for legitimate medical practice helps explain physicians’ reactions to managed care. The abstract:

This study uses the institutional theory of organizational communication (ITOC) to explain physicians’ reactions to managed care. ITOC posits that enduring beliefs and practices both transcend and shape particular organiza- tions and organizing. The authors find that physicians’ institutional beliefs moderated the negative relationship between managed care medical practice and satisfaction. ITOC also posits that the negotiation of institutional, environ- mental, organizational, and individual factors occurs through communication. Controlling for these factors, communication with managed care representatives remains significantly and positively related to satisfaction. The results provide support for ITOC and macro approaches to organizational communication research and offer insights for the management of professionals in general and physicians in particular.

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Organizational Forms of the Provision of Health Care: An Institutional Perspective

Dec 30, ’10 2:08 AM

Our chapter in the 2003 Handbook of Health Communication. Here’s the first paragraph:

Health organizations are among the largest, most complex, technologically rich, and value-infused of any human arrangement. As such, the field of health and medical care in North America—and indeed the world over—provides a diverse and dynamic arena for communication and organizational research. The organizations we refer to as health organizations today include forms whose structures have changed little in one hundred years, such as hospitals. But health organizations also include forms that proliferate today but barely existed one hundred years ago, such as HMOs, hospice, and prepaid multi-specialty medical groups. It is therefore appropriate that we turn our attention to these changing settings.

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Health care institutions, medical organizing, and physicians: A multilevel analysis

Dec 30, ’10 2:02 AM

I’m publishing my research archive as the first posts on the sites so they’re accessible. Here’s the dissertation. Have a look at the abstract:

Managed care—the dominant mode of health care organizing and financing today—may threaten physicians’ satisfaction with practicing medicine, but research has revealed that it is not dissatisfying for physicians in all organizational settings. The institutional theory of organizational communication (ITOC) offers a multileveled explanation of physicians’ reactions to managed care based on their institutional identifications and communication with managed care organizations. A multileveled analysis of data from physicians (n = 1,049) in practices (n = 492) investigates this explanation. The results suggest that institutional identifications moderate the relationship between the experience of managed care and physician satisfaction, and offer evidence for the importance of the communication between managed care representatives and physicians. The results also provide an example of the applicability of multilevel modeling for organizational and health communication research.

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