{"id":{"repo_id":"uiuc","oai_identifier":"oai:www.ideals.illinois.edu:2142/87524"},"canonical_url":"https://search.dev.ndltd.org/etd/uiuc/oai:www.ideals.illinois.edu:2142/87524","repository":{"repo_id":"uiuc","name":"University of Illinois - Urbana-Champaign","base_url":"https://www.ideals.illinois.edu/oai-pmh"},"display":{"title":"Health Care Institutions, Medical Organizing, and Physicians: A Multilevel Analysis","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.","abstract_html":"Managed care---the dominant mode of health care organizing and financing today---may threaten physicians&#x27; 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&#x27; 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.","abstract_has_math":false,"creators":["Barbour, Joshua Ben"],"institution":"University of Illinois at Urbana-Champaign","degree_name":"Ph.D.","degree_level":"Dissertation","degree_discipline":"Speech Communication","degree_department":null,"school":null,"contributors":["Lammers, John C."],"advisors":[],"committee_chairs":[],"committee_members":[],"year":2015,"date_issued":"2015-09-28T16:04:53Z","date_published":"2015-09-28T16:04:53Z","updated_at":"2026-07-22T22:26:30Z","subjects":["Sociology, Organizational"],"languages":["eng"],"rights":[],"rights_urls":[],"identifier_entries":[{"key":"dc:identifier","label":"Identifier","values":["(MiAaPQ)AAI3242790"],"render_values":[{"text":"(MiAaPQ)AAI3242790","href":null,"code":true}]}]},"links":{"outbound_url":"http://hdl.handle.net/2142/87524","outbound_label":"Handle","outbound_source":"dc:identifier"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor","label":"Contributor","values":["Lammers, John C."]},{"key":"dc:creator","label":"Author","values":["Barbour, Joshua Ben"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date","label":"Dc Date","values":["2015-09-28T16:04:53Z","10000-01-01","2006"]},{"key":"dc:type","label":"Dc Type","values":["text"]},{"key":"thesis:degree_discipline","label":"Discipline","values":["Speech Communication"]},{"key":"thesis:degree_level","label":"Degree Level","values":["Dissertation"]},{"key":"thesis:degree_name","label":"Degree Name","values":["Ph.D."]},{"key":"thesis:institution_name","label":"Thesis Institution Name","values":["University of Illinois at Urbana-Champaign"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["Sociology, Organizational"]}]},{"id":"language_rights","label":"Language and Rights","entries":[{"key":"dc:language","label":"Dc Language","values":["eng"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier","label":"Identifier","values":["http://hdl.handle.net/2142/87524","(MiAaPQ)AAI3242790"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description","label":"Description","values":["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.","Made available in DSpace on 2015-09-28T16:04:53Z (GMT). No. of bitstreams: 2 license.txt: 4848 bytes, checksum: 96035ab3f5e1c23cc7138a224ce498bd (MD5) 3242790.pdf: 3012937 bytes, checksum: d7923aece4a81c3fb7a8dc453890d48b (MD5) Previous issue date: 2006","Embargo set by: Seth Robbins for item 88805 Lift date: Forever Reason: Restricted to the U of I community idenfinitely during batch ingest of legacy ETDs","Restricted to the U of I community idenfinitely during batch ingest of legacy ETDs","U of I Only","96 p.","Thesis (Ph.D.)--University of Illinois at Urbana-Champaign, 2006."]},{"key":"dc:title","label":"Title","values":["Health Care Institutions, Medical Organizing, and Physicians: A Multilevel Analysis"]}]}],"canonical_facts":{"dc:contributor":["Lammers, John C."],"dc:creator":["Barbour, Joshua Ben"],"dc:date":["2015-09-28T16:04:53Z","10000-01-01","2006"],"dc:description":["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.","Made available in DSpace on 2015-09-28T16:04:53Z (GMT). No. of bitstreams: 2 license.txt: 4848 bytes, checksum: 96035ab3f5e1c23cc7138a224ce498bd (MD5) 3242790.pdf: 3012937 bytes, checksum: d7923aece4a81c3fb7a8dc453890d48b (MD5) Previous issue date: 2006","Embargo set by: Seth Robbins for item 88805 Lift date: Forever Reason: Restricted to the U of I community idenfinitely during batch ingest of legacy ETDs","Restricted to the U of I community idenfinitely during batch ingest of legacy ETDs","U of I Only","96 p.","Thesis (Ph.D.)--University of Illinois at Urbana-Champaign, 2006."],"dc:identifier":["http://hdl.handle.net/2142/87524","(MiAaPQ)AAI3242790"],"dc:language":["eng"],"dc:subject":["Sociology, Organizational"],"dc:title":["Health Care Institutions, Medical Organizing, and Physicians: A Multilevel Analysis"],"dc:type":["text"],"thesis:degree_discipline":["Speech Communication"],"thesis:degree_level":["Dissertation"],"thesis:degree_name":["Ph.D."],"thesis:institution_name":["University of Illinois at Urbana-Champaign"]},"updated_at":"2026-07-22T22:26:30Z"}