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Too Little? Too Much? Primary Care Physicians' Views on US Health Care

Too Little? Too Much? Primary Care Physicians' Views on US Health Care SPECIAL ARTICLE LESS IS MORE Too Little? Too Much? Primary Care Physicians’ Views on US Health Care A Brief Report Brenda E. Sirovich, MD, MS; Steven Woloshin, MD, MS; Lisa M. Schwartz, MD, MS Background: Some believe that a substantial amount diagnostic testing would be reduced if it did not gener- of US health care is unnecessary, suggesting that it would ate revenue for medical subspecialists (39% for primary be possible to control costs without rationing effective care physicians). Almost all physicians (95%) believe that services. The views of primary care physicians—the front- physicians vary in what they would do for identical pa- line of health care delivery—are not known. tients; 76% are interested in learning how aggressive or conservative their own practice style is compared with Methods:BetweenJuneandDecember2009,weconducted that of other physicians in their community. a nationally representative mail survey of US primary care physicians (general internal medicine and family practice) Conclusions: Many US primary care physicians believe randomly selected from the American Medical Association that their own patients are receiving too much medical Physician Masterfile (response rate, 70%; n=627). care. Malpractice reform, realignment of financial incen- tives, and more time with patients could remove pres- Results: Forty-two percent http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Internal Medicine American Medical Association

Too Little? Too Much? Primary Care Physicians' Views on US Health Care

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References (21)

Publisher
American Medical Association
Copyright
Copyright 2011 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6106
eISSN
2168-6114
DOI
10.1001/archinternmed.2011.437
pmid
21949169
Publisher site
See Article on Publisher Site

Abstract

SPECIAL ARTICLE LESS IS MORE Too Little? Too Much? Primary Care Physicians’ Views on US Health Care A Brief Report Brenda E. Sirovich, MD, MS; Steven Woloshin, MD, MS; Lisa M. Schwartz, MD, MS Background: Some believe that a substantial amount diagnostic testing would be reduced if it did not gener- of US health care is unnecessary, suggesting that it would ate revenue for medical subspecialists (39% for primary be possible to control costs without rationing effective care physicians). Almost all physicians (95%) believe that services. The views of primary care physicians—the front- physicians vary in what they would do for identical pa- line of health care delivery—are not known. tients; 76% are interested in learning how aggressive or conservative their own practice style is compared with Methods:BetweenJuneandDecember2009,weconducted that of other physicians in their community. a nationally representative mail survey of US primary care physicians (general internal medicine and family practice) Conclusions: Many US primary care physicians believe randomly selected from the American Medical Association that their own patients are receiving too much medical Physician Masterfile (response rate, 70%; n=627). care. Malpractice reform, realignment of financial incen- tives, and more time with patients could remove pres- Results: Forty-two percent

Journal

JAMA Internal MedicineAmerican Medical Association

Published: Sep 26, 2011

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