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Diane Publishing Books
California Physicians (2002): Practice & Perceptions
Kevin Grumbach. California (CA) has always been a bellwether state for managed care (MC). Analysts anticipated that by the 21st cent., CA would represent a fully mature MC market: most patients would be enrolled in one of a handful of HMO plans, & most physicians would be working in large med. groups. The results of this survey suggest that a different scenario is now playing out in CA. This survey found, among other things, that: physicians are dropping out of MC; the “CA Model” of loose networks of private practice physicians organized into large MC practice org’s. is unraveling; physicians describe the practice environment in their communities as poor; & many physicians recognize that there are social disparities in access to medical care. Charts & tables.
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