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Correspondence
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Volume 332:474-476 February 16, 1995 Number 7
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Access to Specialty Care

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 by Kassirer, J. P.
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To the Editor: In your recent editorial "Access to Specialty Care" (Oct. 27 issue),1 you mention informal, unofficial "sidewalk" or telephone consultations. Many physicians refer to such consultations as "curbsides."1 These consultations save health maintenance organizations (HMOs) money, because the specialists consulted at curbside are not reimbursed for their time and expertise. Although lawyers customarily bill for telephone calls and verbal advice, doctors generally do not charge for these services. In specialties such as cardiology and gastroenterology, there will always be a base-line number of consultations: these specialists perform procedures such as cardiac catheterization and endoscopy that generalists cannot perform. . . . [Full Text of this Article]

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