National Survey of Physicians Attitudes of Direction of Medicine
Raw data - Responses
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1. How do current changes in the medical system affect your desire to practice medicine?
I'm re-energized - 4.6%
Makes me think about quitting - 82.6%
Unsure/no opinion - 12.8%
2. How do you assess the overall current path of the medical system in the U.S.?
Right track - 3.9%
Wrong track - 89.8%
Unsure/No opinion 6.3%
3.Is it getting easier or more difficult for you to adhere to a Hippocratic ethic of medicine?
Easier -1.6%
More difficult - 61.0%
Same - 33.4%
Unsure - 4.0%
4.In general, do you think the patient-physician relationship is improving or declining?
Improving 3.5%
Declining - 8.35%
Same 9.7%
Unsure/No opinion 1.5%
5.Do you have more or less autonomy in your practice now than you expected to have when you started?
More - 2.6%
Less - 89.4%
Same - 6.4%
Unsure/No opinion - 1.6%
6. If you answered LESS to the last question, what are the top 3 reasons:
Government regulations - 88.1%
Healthcare system contracts - 59.6%
Insurance & third party contracts 81.0%
Fear of lawsuits - 34.6%
Fear of prosecution, licensure or administrative actions - 24.3%
7.Who’s most to blame for current problems in medicine? (Choose three)
President - 27.2%
Congress - 25.8%
Government involvement in general - 65.2%
Hospitals - 7.0%
Health plans/insurance - 49.5%
Third-party payers - 41.5%
Lawyers - 41.5%
Patients - 7.3%
Doctors/Medical professionals - 12.1%
Medicare/Medicaid - 15.4%
8. Who is most likely to improve the problems in medicine? (Choose three)
President - 15.7%
Congress - 29.5%
Government involvement in general - 17.6%
Hospitals - 15.7%
Health plans/insurance - 14.7%
Third-party payers - 8.7%
Lawyers - 3.7%
Patients - 63.7%
Doctors/Medical professionals - 79.5%
Medicare/Medicaid - 2.1%
9.Will Pay-for-Performance improve quality of care?
Yes - 9.2%
No - 64.8%
Slightly - 12.3%
Unsure/No opinion - 13.6%
10. Will Pay-for-Performance reduce overall costs?
Yes - 8.1%
No - 69.7%
Slightly - 7.0%
Unsure/No opinion - 15.2%
11. How would quality of care be affected by expanding scope of practice for nurses?
Greatly improve - 1.8%
Improve - 13.0%
No effect - 11.1%
Worsen - 44.8%
Greatly worsen - 18.7%
Unsure/no opinion - 10.6%
12. Are you planning to join an ACO (Accountable Care Organization) in the next 3-5 years?
Yes, great idea - 2.5%
Giving consideration - 9.9%
Only if I am required - 26.3%
No - 47.9%
Unsure/no opinion - 13.4%
13. How will you respond to lower Medicare/Medicaid payments?
Stop taking new Medicaid patients - 48.9%
Stop taking new Medicare patients - 42.0%
Opt out of Medicare completely - 31.6%
Stop practicing medicine or retire - 32.9%
Seek a partnership/affiliation with large health system or group practice - 10.2%
Seek employed position with hospital or health system - 15.0%
Restrict services to current Medicare patients - 26.9%
Increase patient load - 9.6%
No changes - 8.7%
Unsure/not applicable - 9.5%
14. I would be willing, or prefer to treat some Medicaid/Medicare-eligible patients for free rather than file a claim.
Yes - 35.2%
No - 39.4%
Maybe - 39.4%
Unsure/no opinion - 16.8%
15. Do your third-party contracts restrict your ability to post or disclose prices?
Yes - 28.0%
Somewhat - 11.9%
No - 23.1%
Unsure/no opinion - 37.0%
16. Do you support more price transparency by posting prices at your office?
Yes - 40.7%
Probably - 18.1%
No - 26.6%
Unsure/no opinion - 14.6%
17. How do electronic health records impact medical privacy & confidentiality?
Improve - 7.5%
No effect - 16.0%
Compromise - 66.6%
No effect - 16.0%
Unsure/No opinion - 10.0%
18. Are you hesitant to voice your opinions about health care politics, policy or legislation because of reaction from your patients, colleagues or administrators?
Very hesitant - 10.1%
Somewhat - 25.8%
Not at all - 62.2
Unsure/no opinion - 1.8%
19. Please grade the job medical associations & their leaders have done representing you & your concerns as a physician.
American Medical Association:
A - 2.9%
B - 9.2%
C - 14.2%
D - 16.5%
F - 57.3%
National Specialty Group:
A - 11.2%
B - 22.4%
C - 26.9%
D - 17.5%
F - 57.3%
State/Local Medical Society
A - 11.1%
B - 23.3%
C - 25.8%
D - 16.3%
F - 23.5%
Other (blank question - unedited responses below)
B: AOA
C: APA
A: American Osteoopathic Association
A - AAPS & CMA
A: Onconlogy WVA
PA Chiropractic Assn.
AAPS - A
B: Wisconsin Chiropractic Association
B: ASCBS
A: pch-hca
ACA - B
Christian Medical Assn - A; Catholic Medical Assn - A
ACA and NCCA
NC Chiropractic Assn
ASRM - B
F: AARP
B: Am Psychoanolytic Assoc.
AAFP
B: AAPA/FAPA Physicians Asst Groups
not a member of any
B:SERMO
AARP
American Anti-Aging Regeneration Medical Association - B
American Optometric Assn - C
A - CO Chiro Assoc.
PNHP - A
F - PNNP
F - ADA
A - State Specialty Society
B - AAPA/ FAPA
C - NC Chiropractic Assn.
A - MI Associate of Chiropractors
Amer Optometric Assn - F; MO Optometric Assn - F
ADA - F; AWFP - F
F - AOA
B - ADA
AAPS=A, AANS=B, NASS=A
American Association of Physicians and Surgeons A
Chiropratic Association
American & Missouri Optometric Associates
ACA
AAPS
ACA B
Exception is American Psychoanalytic Association. They r an A
American Dental Assn - A
20. Which of the following most accurately reflects your current financial situation?
In the black - 32.5%
In the black, but just squeaking by - 37.3%
Breaking even - 12.3%
In the red - 10.0%
Dark red & can't see how I can continue like this - 4.5%
Unsure/No opinion - 3.4%
21. What do you anticipate for your financial situation in the next 5 years?
Greatly improve - 2.1%
Improve - 10.8%
Worsen - 38.5
Greatly worsen - 11.9%
I plan to retire within 5 years - 14.6%
Unsure/no opinion - 4.1%
22. Will requiring individuals to purchase insurance result in improved access to actual medical care?
Yes - 11.9%
Maybe - 12.5%
Unlikely - 23.3%
Unsure/no opinion3.4%
23. In general, should private self-pay patients pay the same prices as third-party contracts?
Same - 42.8%
Lower - 32.4%
Higher - 13.0%
Unsure/no opinion - 11.8%
24. Would you be willing to charge your private self-pay patients less than third-party payers?
Yes - 46.3%
Maybe - 18.3%
No - 29.4%
My group/employer won't allow - 2.2%
Unsure/no opinion - 4.6%
25. Is medicine becoming too controlled by large corporations or systems at the expense of independent practice?
Yes - 95.1%
No - 2.4%
Unsure/no opinion - 2.5%
26. What would most improve medicine? (RATE IMPORTANCE 1 TO 5, 1-MOST PRIORITY, 5 –LOW PRIORITY)
1 | 2 | 3 | 4 | 5 | |
Reduce government regulations & mandates | 70.5% | 16.8% | 4.8% | 3.7% | 4.2% |
Repeal part or all of PPACA | 63.1% | 16.4% | 10.9% | 3.1% | 6.5% |
More doctor- owned hospitals | 16.6% | 18.5% | 37.3% | 13.1% | 14.6% |
Increase patient-doctor-direct practices | 42.9% | 35.3% | 15.9% | 2.1% | 3.7% |
Reduce/eliminate third-party payments | 33.5% | 26.2% | 23.6% | 9.7% | 6.9% |
Prohibit government rationing of care | 47.8% | 23.2% | 15.7% | 5.8% | 7.5% |
Patients taking more responsibility for health | 68.4% | 22.1% | 5.3% | 1.7% | 2.5% |
Reforms to deliver medical care instead of "insuring" people | 38.6% | 31.1% | 20.6% | 4.2% | 5.5% |
Liability reform | 62.0% | 23.7% | 8.7% | 2.0% | 2.7% |
Stabilize Medicare payments | 38.0% | 33.8% | 20.4% | 3.8% | 4.1% |
Downsize corporate structures | 31.4% | 26.2% | 29.2% | 8.1% | 5.2% |
Stronger physician leadership | 58.6% | 26.9% | 9.0% | 3.1% | 2.4% |
