Docs anticipate team-based environment as ACA progresses

Docs antipate team-based environment as ACA progresses
Docs antipate team-based environment as ACA progresses

HealthDay News -- Most physicians expect the Affordable Care Act (ACA) to continue as planned and expect further integration in the coming years, according to a report.

"Physicians recognize that 'the new normal' may necessitate major changes in the profession that require them to practice in a different setting as part of a larger organization that uses technologies and team-based models for patient care," Paul Keckley, PhD, executive director of the Deloitte Center for Health Solutions (DCHS), which conducted the survey, said in a statement.

Keckly and colleagues surveyed a nationally representative sample of up to about 600 U.S. primary care and specialist physicians in 2013 to examine their perspectives and attitudes toward healthcare reform.

According to the survey, only 31% of physicians graded the overall health care system performance favorably. Less than half of those surveyed (44%) believe that the ACA is a good start and 82% believe it will continue as planned.

In 2011, more than half of those surveyed were familiar with delivery system improvement programs, compared with 27% in 2012. Most physicians (66%) believe that physicians and hospitals will be more integrated in the next one to three years.

In terms of satisfaction with practicing medicine, 65% of physicians responded affirmatively, with top drivers of satisfaction including patient relationships, protecting and promoting health, and intellectual stimulation.

Most physicians, 78%, believe nurse practitioners and physician assistants will play a bigger role in direct primary care delivery, and 57 % believe that the practice of medicine is in jeopardy. About half of physicians (51%) expect their income to fall dramatically in the next one to three years.

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