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Research Article  |   March 2001
Adjustments to Managed Health Care: Pushing Against It, Going With It, and Making the Best of It
Author Affiliations
  • Kay F. Walker, PhD, OTR/L, FAOTA, is Professor and Chair, Department of Occupational Therapy, PO Box 100164, University of Florida, Gainesville, Florida 32610-0164; kwalker@hp.ufl.edu
Article Information
Professional Issues / Professional Issues
Research Article   |   March 2001
Adjustments to Managed Health Care: Pushing Against It, Going With It, and Making the Best of It
American Journal of Occupational Therapy, March/April 2001, Vol. 55, 129-137. doi:10.5014/ajot.55.2.129
American Journal of Occupational Therapy, March/April 2001, Vol. 55, 129-137. doi:10.5014/ajot.55.2.129
Abstract

In this qualitative study of managed health care and occupational therapy practice, participants described how their practice had changed, suggested that students be educated to communicate the value of occupational therapy and to navigate corporate medicine, and expressed ethical concerns regarding reimbursement versus therapy goals. In-person, individual, focused interviews were conducted with 25 therapists in the southeastern Atlantic states. Participants’ perceptions of pervasive changes in practice due to managed health care reflected three themes of meaning: the “pushing against it” personal–professional struggle; the “going with it” businesslike perspective, and the “making the best of it” optimistic outlook. These findings provide insight into therapists’ occupational adaptation to managed health care.