2011 Physician Survey

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Mar 12, 2011 No Comments ›› vdhc
Rep. George Till (D-Jericho) today released the results of the 2011 Vermont Physician Legislative Survey. Till conducted the survey with a Departmental faculty support grant from the University of Vermont College of Medicine. Doctor Till had assistance from Anastasia Coutinho MPH, UVM College of Medicine class of 2014.  This survey is the first of its kind, in that it was offered to all active licensed physicians in the state of Vermont and was not conducted by a governmental agency. Survey invitations were sent to 1686 licensed physicians, and approximately 610 physicians (36%) completed the on line survey.
The survey asked 25 questions. Thirty-seven percent (37%) of the respondents self-identified as primary care physicians. The respondents ranged in age from 29 years to 81 years old.
Below are the results sorted by all physicians first, followed by primary care physicians only and then specialty care physicians. Text responses to open ended questions follow.

 

  • Physician Survey 2011

 

The Vermont Legislature may consider both a single payer health system and physician assisted suicide/death with dignity legislation this session. Other issues include primary care workforce, anti obesity initiatives and a proposal by the Governor to end Catamount Health Care and roll those patients into the Medicaid program. As the only physician in the Vermont Legislature I would like to accurately represent the views of physicians. I am attempting to reach all practicing physicians in Vermont with this 25 question survey. The research is not funded by money from advocates. Please take this opportunity shape this session’s legislation and please email me at gtillmd@gmail.com if you have questions.
Physician assisted suicide/death with dignity legislation: The proposed legislation is not euthanasia. There are specific requirements and protections within the bill.
A) Only the individual themselves may request the physician to provide the prescription. They must make the request 3 times with at least one written request witnessed by two people who are not family members. No family member or other third party may make the request.
B) Two physician must certify that they believe the patient to be in the last 6 months of life with an incurable condition.
C) The patient must have a consultation with a palliative care specialist or be on hospice care.
D) The patient must be screened for depression and if depressed must be seen by a Vermont licensed psychiatrist or psychologist.
E) No physician or pharmacist must provide this service. Participation is voluntary.
ALL PHYSICIANS
1. Given the aforementioned protections would you favor passage of legislation allowing physician assisted suicide/death with dignity in Vermont?
answered question 604
skipped question
6
Response
Percent
Response
Count
yes 58.8% 355
no 29.8% 180
neutral 11.4% 69
2. Are there other protections in addition to those above for patients or physicians which you think should be included?
answered question 542
skipped question
68
Response
Percent
Response
Count
yes 13.1% 71
no 86.9% 471
If so, what?
Show Responses
98
3. If you oppose the legislation, are there other protections for patient or physician that would change your opposition?
answered question 517
skipped question
93
Response
Percent
Response
Count
not applicable 61.7% 319
yes 3.7% 19
no 34.6% 179
If so, what? 29
4. Do you regularly deal with dying patients within your practice?
answered question 601
skipped question
9
Response
Percent
Response
Count
yes 50.1% 301
no 49.9% 300
5. If yes to number 4, would you be likely to participate in the Death with Dignity/ Physician assisted suicide program?
answered question 525
skipped question
85
Response
Percent
Response
Count
not applicable 40.6% 213
yes 22.1% 116
no 37.3% 196
6. Would you be in favor a publicly financed, state government operated “single payer” health system paid for by broad based taxes?
answered question 579
skipped question
31
Response
Percent
Response
Count
yes 44.2% 256
no 45.6% 264
neutral 10.2% 59
7. Would a single payer system with decisions and reimbursement rates set by an independent appointed Board be preferable one with a standing government agency making decisions?
answered question 575
skipped question
35
Response
Percent
Response
Count
yes 55.0% 316
no 23.7% 136
neutral 21.4% 123
8. Would you be likely to stop practicing in Vermont if a government run single payer health care system was initiated?
answered question 580
skipped question
30
Response
Percent
Response
Count
yes 28.4% 165
no 53.4% 310
neutral 18.1% 105
9. Would you be in favor of a “single pipeline” system which uses a single claim form, a single set of claim edits, and a single set of requirements for preauthorization but still maintains private insurances?
answered question 581
skipped question
29
Response
Percent
Response
Count
yes 65.2% 379
no 19.6% 114
neutral 15.1% 88
10. Do you think that a system with reimbursement on the order of Medicare plus 10%-15% across all private and public payers would make Vermont more or less attractive to physicians?
answered question 576
skipped question
34
Response
Percent
Response
Count
more attractive 28.6% 165
less attractive 38.5% 222
neutral 32.8% 189
11. Do you support a public option for health insurance available to any Vermonter, to compete with private insurances?
answered question 576
skipped question
34
Response
Percent
Response
Count
yes 64.6% 372
no 22.4% 129
neutral 13.0% 75
12. The Hsiao report estimated the office expense of billing and collecting reimbursements at $68,000 per FTE physician. Approximately how much does your office spend per FTE on these expenses?
answered question 387
skipped question
223
Response
Count
                                                                                                                                                                                                                     Show Responses     387
13. Should Vermont have a single statewide preferred drug list for all insurers?
answered question 578
skipped question
32
Response
Percent
Response
Count
yes 62.8% 363
no 19.9% 115
neutral 17.3% 100
14. Would a no fault medical compensation system make Vermont a more attractive place to practice medicine?
answered question 580
skipped question
30
Response
Percent
Response
Count
yes 73.1% 424
no 5.3% 31
neutral 21.6% 125
15. Would you be willing to pay a 5.5% provider tax on your net revenue if it would allow Medicaid rates to be increased to Medicare rates plus 10%?
answered question 576
skipped question
34
Response
Percent
Response
Count
yes 23.6% 136
no 44.4% 256
neutral 31.9% 184
 
16. Should the Vermont Legislature enact this distributor excise tax on sugar sweetened beverages?
answered question 580
skipped question
30
Response
Percent
Response
Count
yes 71.7% 416
no 21.0% 122
neutral 7.2% 42
17. Should the Vermont Legislature enact similar taxes on “junk foods”?
answered question 576
skipped question
34
Response
Percent
Response
Count
yes 65.5% 377
no 24.8% 143
neutral 9.7% 56
18. Should sales tax be imposed on candy?
answered question 579
skipped question
31
Response
Percent
Response
Count
yes 72.4% 419
no 20.2% 117
neutral 7.4% 43
19. Should sales tax be imposed on soda in the absence of the distributer tax above?
answered question 578
skipped question
32
Response
Percent
Response
Count
yes 68.5% 396
no 18.7% 108
maybe 12.8% 74
 
20. Workforce Issues: 11 of 14 Vermont Counties have a shortage of primary care physicians. Please order the items below from 1-6 in importance to correct this situation.
answered question 548
skipped question
62
most important next most important third most important fourth most important fifth most important least important Rating
Average
Response
Count
increase reimbursements to primary care physicians 73.8% (401) 14.4% (78) 6.4% (35) 2.9% (16) 1.5% (8) 0.9% (5) 1.47 543
increase loan repayment programs 12.2% (64) 39.3% (206) 24.8% (130) 11.6% (61) 7.8% (41) 4.2% (22) 2.76 524
reduce paperwork 14.7% (79) 34.1% (184) 34.3% (185) 10.9% (59) 4.3% (23) 1.7% (9) 2.61 539
improve access to electronic health records 3.3% (17) 6.2% (32) 18.9% (97) 35.4% (182) 25.5% (131) 10.7% (55) 4.06 514
improve access to specialists 5.2% (27) 7.3% (38) 15.0% (78) 27.6% (144) 36.1% (188) 8.8% (46) 4.09 521
improve access to telemedicine from UVM 1.3% (7) 1.5% (8) 3.5% (18) 7.3% (38) 17.9% (93) 68.5% (356) 5.44 520
other (please specify below) 38.6% (22) 8.8% (5) 10.5% (6) 8.8% (5) 3.5% (2) 29.8% (17) 3.19 57
21. What other issue is more important to increase primary care physicians in Vermont?
answered question 196
skipped question
414
Response
Count
                                                                                                                                                Show Responses 196
22. Do you consider yourself a primary care physician?
answered question 566
skipped question
44
Response
Percent
Response
Count
yes 37.1% 210
no 62.9% 356
23. What is your specialty according to the Vermont Board of Medical Practice?
answered question 546
skipped question
64
Response
Count
                                                                                                                             Show Responses 546
24. What is your age?
answered question 550
skipped question
60
Response
Count
Show Responses 550
25. Are you willing to participate in other legislative surveys?
answered question 534
skipped question
76
Response
Percent
Response
Count
yes 86.5% 462
no 13.5% 72
367

 

 
PRIMARYCARE PHYSICIANS ONLY

 
1. Given the aforementioned protections would you favor passage of legislation allowing physician assisted suicide/death with dignity in Vermont?
answered question 208
skipped question
2
Response
Percent
Response
Count
yes 61.5% 128
no 30.8% 64
neutral 7.7% 16
2. Are there other protections in addition to those above for patients or physicians which you think should be included?
answered question 184
skipped question
26
Response
Percent
Response
Count
yes 11.4% 21
no 88.6% 163
If so, what?

29
3. If you oppose the legislation, are there other protections for patient or physician that would change your opposition?
answered question 170
skipped question
40
Response
Percent
Response
Count
not applicable 58.8% 100
yes 1.2% 2
no 40.0% 68
If so, what?

9
4. Do you regularly deal with dying patients within your practice?
answered question 208
skipped question
2
Response
Percent
Response
Count
yes 66.3% 138
no 33.7% 70
5. If yes to number 4, would you be likely to participate in the Death with Dignity/ Physician assisted suicide program?
answered question 182
skipped question
28
Response
Percent
Response
Count
not applicable 25.3% 46
yes 34.1% 62
no 40.7% 74
 
6. Would you be in favor a publicly financed, state government operated “single payer” health system paid for by broad based taxes?
answered question 209
skipped question
1
Response
Percent
Response
Count
yes 61.7% 129
no 28.2% 59
neutral 10.0% 21
7. Would a single payer system with decisions and reimbursement rates set by an independent appointed Board be preferable one with a standing government agency making decisions?
answered question 207
skipped question
3
Response
Percent
Response
Count
yes 62.3% 129
no 15.5% 32
neutral 22.2% 46
8. Would you be likely to stop practicing in Vermont if a government run single payer health care system was initiated?
answered question 208
skipped question
2
Response
Percent
Response
Count
yes 13.9% 29
no 73.1% 152
neutral 13.0% 27
9. Would you be in favor of a “single pipeline” system which uses a single claim form, a single set of claim edits, and a single set of requirements for preauthorization but still maintains private insurances?
answered question 208
skipped question
2
Response
Percent
Response
Count
yes 61.1% 127
no 25.0% 52
neutral 13.9% 29
10. Do you think that a system with reimbursement on the order of Medicare plus 10%-15% across all private and public payers would make Vermont more or less attractive to physicians?
answered question 205
skipped question
5
Response
Percent
Response
Count
more attractive 38.0% 78
less attractive 25.9% 53
neutral 36.1% 74
11. Do you support a public option for health insurance available to any Vermonter, to compete with private insurances?
answered question 206
skipped question
4
Response
Percent
Response
Count
yes 69.4% 143
no 20.4% 42
neutral 10.2% 21
12. The Hsiao report estimated the office expense of billing and collecting reimbursements at $68,000 per FTE physician. Approximately how much does your office spend per FTE on these expenses?
answered question 159
skipped question
51
Response
Count
  159
13. Should Vermont have a single statewide preferred drug list for all insurers?
answered question 207
skipped question
3
Response
Percent
Response
Count
yes 80.2% 166
no 9.2% 19
neutral 10.6% 22
14. Would a no fault medical compensation system make Vermont a more attractive place to practice medicine?
answered question 209
skipped question
1
Response
Percent
Response
Count
yes 76.1% 159
no 2.4% 5
neutral 21.5% 45
15. Would you be willing to pay a 5.5% provider tax on your net revenue if it would allow Medicaid rates to be increased to Medicare rates plus 10%?
answered question 205
skipped question
5
Response
Percent
Response
Count
yes 27.8% 57
no 37.1% 76
neutral 35.1% 72
 
16. Should the Vermont Legislature enact this distributor excise tax on sugar sweetened beverages?
answered question 210
skipped question
0
Response
Percent
Response
Count
yes 81.9% 172
no 13.3% 28
neutral 4.8% 10
17. Should the Vermont Legislature enact similar taxes on “junk foods”?
answered question 207
skipped question
3
Response
Percent
Response
Count
yes 73.9% 153
no 17.4% 36
neutral 8.7% 18
18. Should sales tax be imposed on candy?
answered question 209
skipped question
1
Response
Percent
Response
Count
yes 76.6% 160
no 15.3% 32
neutral 8.1% 17
19. Should sales tax be imposed on soda in the absence of the distributer tax above?
answered question 209
skipped question
1
Response
Percent
Response
Count
yes 76.1% 159
no 12.4% 26
maybe 11.5% 24
 
20. Workforce Issues: 11 of 14 Vermont Counties have a shortage of primary care physicians. Please order the items below from 1-6 in importance to correct this situation.
answered question 208
skipped question
2
most important next most important third most important fourth most important fifth most important least important Rating
Average
Response
Count
increase reimbursements to primary care physicians 81.7% (170) 11.1% (23) 5.3% (11) 1.4% (3) 0.5% (1) 0.0% (0) 1.28 208
increase loan repayment programs 7.6% (15) 35.9% (71) 27.3% (54) 16.7% (33) 8.1% (16) 4.5% (9) 2.95 198
reduce paperwork 14.5% (30) 42.5% (88) 30.9% (64) 9.2% (19) 2.4% (5) 0.5% (1) 2.44 207
improve access to electronic health records 1.0% (2) 4.6% (9) 24.5% (48) 34.2% (67) 24.0% (47) 11.7% (23) 4.11 196
improve access to specialists 2.0% (4) 3.6% (7) 12.2% (24) 27.4% (54) 40.1% (79) 14.7% (29) 4.44 197
improve access to telemedicine from UVM 0.5% (1) 2.0% (4) 4.1% (8) 7.1% (14) 18.9% (37) 67.3% (132) 5.44 196
other (please specify below) 37.5% (6) 12.5% (2) 12.5% (2) 6.3% (1) 6.3% (1) 25.0% (4) 3.06 16
21. What other issue is more important to increase primary care physicians in Vermont?
answered question 91
skipped question
119
Response
Count
  91
22. Do you consider yourself a primary care physician?
answered question 210
skipped question
0
Response
Percent
Response
Count
yes 100.0% 210
no 0.0% 0
23. What is your specialty according to the Vermont Board of Medical Practice?
answered question 210
skipped question
0
Response
Count
  210
24. What is your age?
answered question 210
skipped question
0
Response
Count
  210
25. Are you willing to participate in other legislative surveys?
answered question 194
skipped question
16
Response
Percent
Response
Count
yes 86.6% 168
no 13.4% 26
137

 

 

 

Management S

 
Specialist Only
1. Given the aforementioned protections would you favor passage of legislation allowing physician assisted suicide/death with dignity in Vermont?
answered question 354
skipped question
2
Response
Percent
Response
Count
yes 57.6% 204
no 29.1% 103
neutral 13.3% 47
2. Are there other protections in addition to those above for patients or physicians which you think should be included?
answered question 326
skipped question
30
Response
Percent
Response
Count
yes 13.8% 45
no 86.2% 281
If so, what?

64
3. If you oppose the legislation, are there other protections for patient or physician that would change your opposition?
answered question 309
skipped question
47
Response
Percent
Response
Count
not applicable 63.1% 195
yes 4.9% 15
no 32.0% 99
If so, what?

19
4. Do you regularly deal with dying patients within your practice?
answered question 353
skipped question
3
Response
Percent
Response
Count
yes 41.1% 145
no 58.9% 208
5. If yes to number 4, would you be likely to participate in the Death with Dignity/ Physician assisted suicide program?
answered question 308
skipped question
48
Response
Percent
Response
Count
not applicable 49.0% 151
yes 15.6% 48
no 35.4% 109
 
6. Would you be in favor a publicly financed, state government operated “single payer” health system paid for by broad based taxes?
answered question 352
skipped question
4
Response
Percent
Response
Count
yes 33.5% 118
no 56.5% 199
neutral 9.9% 35
7. Would a single payer system with decisions and reimbursement rates set by an independent appointed Board be preferable one with a standing government agency making decisions?
answered question 350
skipped question
6
Response
Percent
Response
Count
yes 52.0% 182
no 27.7% 97
neutral 20.3% 71
8. Would you be likely to stop practicing in Vermont if a government run single payer health care system was initiated?
answered question 354
skipped question
2
Response
Percent
Response
Count
yes 37.0% 131
no 42.1% 149
neutral 20.9% 74
9. Would you be in favor of a “single pipeline” system which uses a single claim form, a single set of claim edits, and a single set of requirements for preauthorization but still maintains private insurances?
answered question 354
skipped question
2
Response
Percent
Response
Count
yes 67.5% 239
no 16.7% 59
neutral 15.8% 56
10. Do you think that a system with reimbursement on the order of Medicare plus 10%-15% across all private and public payers would make Vermont more or less attractive to physicians?
answered question 353
skipped question
3
Response
Percent
Response
Count
more attractive 23.8% 84
less attractive 45.6% 161
neutral 30.6% 108
11. Do you support a public option for health insurance available to any Vermonter, to compete with private insurances?
answered question 353
skipped question
3
Response
Percent
Response
Count
yes 61.8% 218
no 24.1% 85
neutral 14.2% 50
12. The Hsiao report estimated the office expense of billing and collecting reimbursements at $68,000 per FTE physician. Approximately how much does your office spend per FTE on these expenses?
answered question 221
skipped question
135
Response
Count
  221
13. Should Vermont have a single statewide preferred drug list for all insurers?
answered question 354
skipped question
2
Response
Percent
Response
Count
yes 53.4% 189
no 26.3% 93
neutral 20.3% 72
14. Would a no fault medical compensation system make Vermont a more attractive place to practice medicine?
answered question 353
skipped question
3
Response
Percent
Response
Count
yes 71.7% 253
no 7.1% 25
neutral 21.2% 75
15. Would you be willing to pay a 5.5% provider tax on your net revenue if it would allow Medicaid rates to be increased to Medicare rates plus 10%?
answered question 353
skipped question
3
Response
Percent
Response
Count
yes 21.5% 76
no 48.2% 170
neutral 30.3% 107
 
16. Should the Vermont Legislature enact this distributor excise tax on sugar sweetened beverages?
answered question 355
skipped question
1
Response
Percent
Response
Count
yes 65.4% 232
no 25.9% 92
neutral 8.7% 31
17. Should the Vermont Legislature enact similar taxes on “junk foods”?
answered question 354
skipped question
2
Response
Percent
Response
Count
yes 59.9% 212
no 29.7% 105
neutral 10.5% 37
18. Should sales tax be imposed on candy?
answered question 355
skipped question
1
Response
Percent
Response
Count
yes 69.6% 247
no 23.4% 83
neutral 7.0% 25
20. Workforce Issues: 11 of 14 Vermont Counties have a shortage of primary care physicians. Please order the items below from 1-6 in importance to correct this situation.
answered question 336
skipped question
20
most important next most important third most important fourth most important fifth most important least important Rating
Average
Response
Count
increase reimbursements to primary care physicians 68.6% (227) 16.6% (55) 7.3% (24) 3.9% (13) 2.1% (7) 1.5% (5) 1.59 331
increase loan repayment programs 15.2% (49) 41.3% (133) 23.6% (76) 8.4% (27) 7.5% (24) 4.0% (13) 2.64 322
reduce paperwork 14.9% (49) 28.7% (94) 36.6% (120) 11.9% (39) 5.5% (18) 2.4% (8) 2.72 328
improve access to electronic health records 4.8% (15) 7.3% (23) 15.2% (48) 36.5% (115) 26.3% (83) 9.8% (31) 4.02 315
improve access to specialists 7.2% (23) 9.7% (31) 16.2% (52) 28.0% (90) 34.0% (109) 5.0% (16) 3.87 321
improve access to telemedicine from UVM 1.9% (6) 1.2% (4) 3.1% (10) 7.2% (23) 17.1% (55) 69.5% (223) 5.45 321
other (please specify below) 39.0% (16) 7.3% (3) 9.8% (4) 9.8% (4) 2.4% (1) 31.7% (13) 3.24 41
 

 

 

21. What other issue is more important to increase primary care physicians in Vermont?

answered question 103
skipped question
253
Response
Count
  103
22. Do you consider yourself a primary care physician?
answered question 356
skipped question
0
Response
Percent
Response
Count
yes 0.0% 0
no 100.0% 356
23. What is your specialty according to the Vermont Board of Medical Practice?
answered question 333
skipped question
23
Response
Count
  333
24. What is your age?
answered question 337
skipped question
19
Response
Count
  337
25. Are you willing to participate in other legislative surveys?
answered question 337
skipped question
19
R
esponse
Percent
Response
Count
yes 86.6% 292
no 13.4% 45

229