{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T13:05:00Z","timestamp":1785157500731,"version":"3.55.0"},"reference-count":0,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2001,3,1]],"date-time":"2001-03-01T00:00:00Z","timestamp":983404800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["American Journal of Occupational Therapy"],"published-print":{"date-parts":[[2001,3]]},"abstract":"<jats:p>\n                    <jats:italic toggle=\"yes\">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\u2019 perceptions of pervasive changes in practice due to managed health care reflected three themes of meaning: the \u201cpushing against it\u201d personal\u2013professional struggle; the \u201cgoing with it\u201d businesslike perspective, and the \u201cmaking the best of it\u201d optimistic outlook. These findings provide insight into therapists\u2019 occupational adaptation to managed health care.<\/jats:italic>\n                  <\/jats:p>","DOI":"10.5014\/ajot.55.2.129","type":"journal-article","created":{"date-parts":[[2010,9,28]],"date-time":"2010-09-28T18:07:10Z","timestamp":1285697230000},"page":"129-137","source":"Crossref","is-referenced-by-count":12,"title":["Adjustments to Managed Health Care: Pushing Against It, Going With It, and Making the Best of It"],"prefix":"10.1177","volume":"55","author":[{"given":"Kay F.","family":"Walker","sequence":"first","affiliation":[{"name":"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;"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2001,3,1]]},"container-title":["American Journal of Occupational Therapy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.5014\/ajot.55.2.129","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/research.aota.org\/ajot\/article-pdf\/55\/2\/129\/65448\/129.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.5014\/ajot.55.2.129","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T12:35:13Z","timestamp":1785155713000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.5014\/ajot.55.2.129"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2001,3]]},"references-count":0,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2001,3]]}},"alternative-id":["10.5014\/ajot.55.2.129"],"URL":"https:\/\/doi.org\/10.5014\/ajot.55.2.129","relation":{},"ISSN":["1943-7676","1943-7676"],"issn-type":[{"value":"1943-7676","type":"print"},{"value":"1943-7676","type":"electronic"}],"subject":[],"published":{"date-parts":[[2001,3]]}}}