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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
JAMA Internal Medicine – American Medical Association
Published: Sep 26, 2011
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