The impact of clinical fees on clinical practice for management organizations

Abstract

This study aims to examine how fees influence clinical practice for management organizations. Clinical practice refers to the application of professional knowledge through which management organizations can be intervened in an improvement-oriented manner. Clinical fees have been treated reluctantly in action research on management organizations. Further, studies on psychological counseling in clinical psychology have examined how fees influence clinical processes and outcomes. However, they differ from the clinical practice observed in management organizations, such that individuals pay the required fees, the clinical conditions do not change with or without the payment of fees, and clinicians are trusted by their clients from the clinical beginning. Therefore, we describe the relationship between clinical practice and the payment of fees in the context of management organizations based on 20 clinical cases. The findings suggest that fee negotiation creates a clinical structure composed of clinical goals, schedules, and teams while encouraging fees earnings. In addition, it leads to resource mobilization and clinical outcomes, considering that the clinical practice was legitimately performed in the management organization. This clinical structure may reduce the significant influence of clinician behavior on outcomes and allow more researchers to engage in clinical practice in management organizations.