BriefingBMJ 1999; 319 doi: https://doi.org/10.1136/bmj.319.7206.3 (Published 07 August 1999) Cite this as: BMJ 1999;319:S3-7206
A cynic might say that American physicians are too busy making money to become stressed, but a survey in Health Review (1999;18:134-45) says this is not so. The new exigencies of the health market place mean that the number who find practice dissatisfying is on the up. Managed care has eroded the autonomy traditionally enjoyed in a fee for service system. In 1991 one quarter of physicians would avoid medical school if they had their time again; in 1996 it was one third, though the methods changed from a postal questionnaire to a telephone survey between times, which may have biased the results.