Doctor Discontent

To the Editor: Neither Grumbach et al. in their article on primary care physicians' experience of financial incentives in managed-care systems (Nov. 19 issue) 1 nor you, Dr. Kassirer, in your accompanying editorial 2 have addressed the fundamental conflict that is inherent in our health care sy...

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Bibliographic Details
Published inThe New England journal of medicine Vol. 340; no. 8; pp. 649 - 653
Main Author Cohen, K R
Format Journal Article
LanguageEnglish
Published United States Massachusetts Medical Society 25.02.1999
Subjects
Bioethics
Delivery of Health Care - economics
Health Care Costs
Health Services - utilization
Job Satisfaction
Physician Incentive Plans
Physicians - psychology
Quality of Health Care - economics
Resource Allocation
Risk Sharing, Financial
United States
United States
Health Care and Public Health
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Summary:To the Editor: Neither Grumbach et al. in their article on primary care physicians' experience of financial incentives in managed-care systems (Nov. 19 issue) 1 nor you, Dr. Kassirer, in your accompanying editorial 2 have addressed the fundamental conflict that is inherent in our health care system and that underlies the dissatisfaction of physicians. Our patients wear two hats and thus have two expectations of us. As a community of consumers, they demand cost containment and value in their health care system, but as sick patients in our offices, they expect complete and unrestricted access to the full spectrum of specialty, hospital, . . .
Bibliography:SourceType-Other Sources-1
content type line 63
ObjectType-Correspondence-1
ObjectType-Commentary-2
ISSN:0028-4793
1533-4406
DOI:10.1056/NEJM199902253400812