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E. Doctors Dropping out of Managed Care

Narrator: This is Science Today. In the state of California, doctors are dropping out of managed care. According to a University of California, San Francisco study, only fifty-eight percent of physicians are accepting new patients with HMO coverage. Researcher Catherine Dower helped conduct the study - called the California Physicians Survey - and says the majority of doctors reported satisfaction with their work, but were dissatisfied with the challenge of maintaining business.

Dower: The reimbursement rates, cost of living and some of the financial factors. There's also the paperwork and bureaucracy entailed in the managed care organizations. So they were finding much satisfaction with their delivery of care, but they were very unsatisfied based on some of their reimbursement rates.

Narrator: Dower says these are issues that need to be dealt with.

Dower: Many physicians are leaving. If they go out of the managed care system, if they are in a community where they see enough self-paying patients, they can maintain their business that way, but they're not offering their services to the full range of people who need care.

Narrator: For Science Today, I'm Larissa Branin.