Table 2 Absolute numbers and proportions of negative perceptions for each managed care tool and its impacts*, in 1546 doctors in Geneva, Switzerland, 2007.
| Â | Very negative or rather negative impact on | |||
|---|---|---|---|---|
| Â | Professional autonomy N (%) | Relation with patients N (%) | Quality of care N (%) | Control of health care costs N (%) |
Use of guidelines | 536 (35.6) | 437 (29.0) | 293 (19.5) | 269 (18.0) |
Gate-keeping | 938 (61.9) | 675 (44.6) | 569 (37.7) | 419 (27.8) |
Managed care network | 908 (60.3) | 626 (41.7) | 479 (31.9) | 301 (20.1) |
Second opinion | 1024 (67.6) | 803 (53.0) | 458 (30.3) | 547 (36.1) |
Pay by salary | 1009 (66.8) | 856 (56.8) | 943 (62.7) | 618 (41.6) |
Pay for performance | 1326 (87.9) | 1228 (81.7) | 1162 (77.3) | 721 (48.4) |
Utilization review | 1448 (95.3) | 1352 (89.1) | 1268 (83.7) | 713 (47.4) |
Selective contracting | 1475 (96.8) | 1419 (93.2) | 1398 (91.9) | 837 (55.4) |