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Leveraging the Epocrates' physician user base, athenahealth deployed a survey to 1,200 providers seeking information on physician awareness and opinions of health care and health IT. The results of the 2013 PSI surface a range of findings and some notable themes:
Doctors Who Go it Alone are Hurting the Most – Independent doctors, who account for just over half of the physicians surveyed, are feeling the most pressure when it comes to industry change and requirements. In fact, 78 percent of all physicians surveyed said they are not optimistic about independent/small groups surviving. Independent physicians are more skeptical of the positive impact that EHRs have on patient care, a PSI trend that has gained momentum since 2010. Also, with the Affordable Care Act fueling the rise of Accountable Care Organizations (ACOs) and other models that incent physicians and hospitals to reduce the cost of care, independent physicians remain skeptical of the benefits for them and their patients.
The Industry's Shift to Accountable Care Models Has Physicians Concerned – While many physicians believe that shifting reimbursement models, away from fee-for-service, will positively impact the quality of care, there are concerns that it won't come easy or cheap. Findings show that the majority of physicians surveyed believe these models will:
Positively impact quality of care
Negatively impact profits
Create more burden to get paid
In addition to overall concern, the PSI also exposed a general sense of unfamiliarity with the Accountable Care model among physicians. Nearly 75 percent of physicians surveyed have either only "heard of" or are "somewhat familiar with" an ACO, and 26 percent of physicians responded that they "don't know" if they are participating in any "pay-for-performance" programs.