Educational implications of nurse practitioner students and medical residents' attitudes toward managed care

被引:2
|
作者
Breer, ML
Pohl, JM
Stommel, M
Barkauskas, VH
Schillo, B
Oakley, D
机构
[1] Michigan Publ Hlth Inst, Ctr Collaborat Res Hlth Outcomes & Policy, Okemos, MI USA
[2] Univ Michigan, Sch Nursing, Off Community Partnerships, Ann Arbor, MI 48109 USA
[3] Michigan State Univ, Coll Nursing, E Lansing, MI 48824 USA
[4] Univ Michigan, Sch Nursing, Ann Arbor, MI 48109 USA
[5] Minnesota Partnership Act Tobacco, St Paul, MI USA
[6] Univ Michigan, Sch Nursing, Grants & Res Off, Ann Arbor, MI 48109 USA
关键词
managed care; attitudes; advanced practice nursing students; medical residents; factor analysis;
D O I
10.1053/jpnu.2002.129622
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
The increasing number of individuals enrolled in managed care organizations is a key consideration when planning effective models of education for future health care professionals. This study compares attitudes toward managed care between medical residents (MRs) (n = 431) and advanced practice nursing students (APNSs) (n = 153) in a Midwestern U.S. state, and it reports the results of a factor analysis of the attitude survey. MRs and APNSs completed a 34-item questionnaire. Results show that MRs were more likely than APNSs to believe that cost has priority over quality of care in a managed care setting and that managed care threatens the autonomy of health care providers. APNS were more likely than MRs to believe that managed care encourages preventive health care. Other comparisons related to Medicaid, capitation, practice guidelines, and success factors are discussed. Findings indicate that MRs were more inclined to see managed care as an economic threat to quality of care than APNSs. At the same time, MRs were somewhat less enthusiastic about practice guidelines and patient outcomes as measures of success in managed care settings than APNSs. Educational implications of findings are discussed. Copyright 2002, Elsevier Science (USA). All rights reserved.
引用
收藏
页码:263 / 270
页数:8
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