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Community spirit.

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Career Choice↗
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Sister act gone wrong.

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Career Mobility↗
PubMed2000

Does managed care mean more hassle for physicians?

Using the results of a 1995 nationally representative survey of physicians, this paper examines the relationship between exposure to managed care and resources expended by physicians on administrative and insurance matters. Our measures of managed care exposure are the degree to which a physician experiences a variety of managed care techniques (i.e., utilization review, capitation payment, restricted panels, gatekeepers, discounted fees, compensation links to utilization measures, profiling, protocols, and salary payment). Physicians report expending, on average, three hours per week on insurance-related matters and 4.8 hours per week on administration. Although managed care techniques affect administrative and insurance-related burdens, the direction of that effect varies according to the form that managed care exposure takes. With the exception of being salaried, none of our variables has an economically significant effect on physicians' administrative/insurance burdens, even at the outer-most edge of the 95% confidence interval. Overall, our findings contradict the widely held notion that managed care dramatically raises the administrative and insurance burden of physicians.

Attitude of Health Personnel↗
PubMed2000

Delivering the gift of sight.

It was 1994. "They gave me a beeper and told me to go start an eye bank." And so began the most rewarding part of Mary Gatien's 27-year nursing career. As executive director of the New Brunswick Eye Bank, she runs one of Canada's four accredited eye banks; educates the public and health professionals; counsels donor families; and does the hands-on work of screening, retrieving, testing and transporting corneas. Over the past six years, she's retrieved some 500 corneas, going from 20 a year to 125 nowadays.

Eye Banks↗