What causes physicians to change the way they practice? Thisquestion is especially important today because physicians' decisionsinfluence not only the health of their patients but also thecost of their care. Thus, the ability to change physicians'practices could improve the quality of health care while controllingexpenditures.
Changes in practice are sometimes rapid and dramatic. For example,laparoscopic cholecystectomy has virtually replaced the traditionalprocedure in the past several years1. At other times physiciansare reluctant to change their practices even when randomizedtrials demonstrate the effectiveness of a new treatment2. Inthis article we . . . [Full Text of this Article]
Education
Feedback
Participation by Physicians in the Effort to Change
Administrative Interventions
Financial Incentives and Penalties
Future Directions
Address reprint requests to Peter J. Greco, M.D., at the Division of General Internal Medicine, MetroHealth Campus, Case Western Reserve University, 2500 MetroHealth Dr., Cleveland, OH 44109-1998.
References
Related Letters:
Changing Physicians' Behavior
Wofford J. L., Moran W. P., Drazen E., Metzger J., Stasior D., Greco P. J., Eisenberg J. M.
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