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- W2769681036 abstract "Publisher SummaryTraditional efforts by the physician community to remove the issue of money from the physician–patient relationship were thwarted when managed care plans reintroduced money as a direct factor in the service equation. Physician roles expanded to include health care cost management in addition to patient advocacy. From the middle of the nineteenth century until the late twentieth century, the way of purchasing medical services changed as physicians successfully restructured both their clinical and their economic relationships with patients. Through this effort, physicians controlled and directed the growth and development of the health-care industry. The profession expertly crafted its dominant position by championing the scientific approach to medical care and the fiduciary responsibility of physicians to act solely in the best interest of their patients. Manipulation of financial incentives alone will not fundamentally change delivery and financing models in the way required to equitably balance cost, quality, and access issues. The challenges and costs associated with restructuring patient–physician relationship and the health care industry are great. In a competitive market environment, however, the possibility of aligning physician incentives in a way that benefits the public while minimizing concerns is promising. The essence of good care is the cooperative interaction between an informed patient, and an engaged and caring physician. In this scenario, the role of money and the payment plan developed for physicians will be addressed in a way that will meet the requirements of all participants." @default.
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- W2769681036 date "2004-01-01" @default.
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- W2769681036 title "Chapter 11 – It's Really Not about the Money: The Financing and Payment of Physician Services" @default.
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