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Otolaryngol Head Neck Surg. 2014 Feb;150(2):229-34. doi: 10.1177/0194599813515839. Epub 2013 Dec 13.

Physician knowledge of and attitudes toward the Patient Protection and Affordable Care Act.

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  • 1Department of Surgery, Division of Otolaryngology, Head & Neck Surgery (OHNS), Duke University Medical Center, Durham, North Carolina, USA.



To assess otolaryngology physician knowledge of and attitudes toward the Patient Protection and Affordable Care Act (PPACA) and compare the association of bias toward the PPACA with knowledge of the provisions of the PPACA.


Cross-sectional survey.


Nationwide assessment.


Members of the American Academy of Otolaryngology-Head and Neck Surgery.


Otolaryngology physicians answered 10 true/false questions about major provisions of the PPACA. They also indicated their level of agreement with 9 statements about health care and the PPACA. Basic demographic information was collected.


Email solicitation was sent to 9972 otolaryngologists and 647 responses were obtained (6.5% response rate). Overall correct response rate was 74%. Fewer than 60% of physicians correctly answered questions on whether small businesses receive tax credits for providing health insurance, the effect of the PPACA on Medicare benefits, and whether a government-run health insurance plan was created. Academic center practice setting, bias toward the PPACA, and Democratic Party affiliation were associated with significantly more correct responses.


Overall physician knowledge of the PPACA is assessed as fair, although better than the general public in 2010. There are several areas where knowledge of physicians regarding the PPACA is poor, and this knowledge deficit is more pronounced within certain subgroups. These knowledge issues should be addressed by individual physicians and medical societies.


Patient Protection and Affordable Care Act; health reform

[PubMed - indexed for MEDLINE]
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