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The four impact ratings turned out to be correlated, for all of the managed care tools.
How doctors perceive managed care tools and incentives is not well known.
Therefore managed care tools have become a concern for doctors in many countries.
We are not aware of studies comparing various managed care tools on their various perceived impacts.
Other stakeholders in the health care system may have valid, yet different, opinions about the same managed care tools.
Older doctors and those in private practice had more negative opinions of the various managed care tools.
Similar(38)
We have conducted most analyses using a summary score, the global impact score, for each managed care tool.
Each managed care tool was followed by a list of four impacts - professional autonomy, control of health care costs, quality of care, and relations with patients.
Furthermore, the correlations between impacts may be partly due to a halo effect, whereby the general attitude toward a managed care tool influences the specific ratings.
By asking closed-format questions, we have constrained the respondents' ability to express their detailed views about the managed-care tools and to explain the reasons for their ratings.
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