University of Illinois Urbana-Champaign

Health Care Institutions, Medical Organizing, and Physicians: A Multilevel Analysis

Barbour, Joshua Ben

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https://hdl.handle.net/2142/87524

Description

Title
Health Care Institutions, Medical Organizing, and Physicians: A Multilevel Analysis
Author(s)
Barbour, Joshua Ben
Issue Date
2006
Doctoral Committee Chair(s)
Lammers, John C.
Department of Study
Speech Communication
Discipline
Speech Communication
Degree Granting Institution
University of Illinois at Urbana-Champaign
Degree Name
Ph.D.
Degree Level
Dissertation
Keyword(s)
Sociology, Organizational
Language
eng
Abstract
Managed care---the dominant mode of health care organizing and financing today---may threaten physicians' satisfaction with practicing medicine, but research has revealed that it is not dissatisfying for physicians in all organizational settings. The institutional theory of organizational communication (ITOC) offers a multileveled explanation of physicians' reactions to managed care based on their institutional identifications and communication with managed care organizations. A multileveled analysis of data from physicians (n = 1,049) in practices (n = 492) investigates this explanation. The results suggest that institutional identifications moderate the relationship between the experience of managed care and physician satisfaction, and offer evidence for the importance of the communication between managed care representatives and physicians. The results also provide an example of the applicability of multilevel modeling for organizational and health communication research.
Graduation Semester
2006
Type of Resource
text
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http://hdl.handle.net/2142/87524

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