FREE NEJM E-TOC    HOME   |   SUBSCRIBE   |   CURRENT ISSUE   |   PAST ISSUES   |   COLLECTIONS   |   Search Term  Advanced Search

Sign in | Get NEJM's E-Mail Table of Contents — Free | Subscribe

Previous Volume 336:508-509 February 13, 1997 Number 7 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

	Full Text Purchase this article Add to Personal Archive Add to Citation Manager Notify a Friend E-mail When Cited PubMed Citation

Managed care scares me, but with patients enrolled in health maintenance organizations (HMOs) now making up a quarter of my internal-medicine practice, I've found it essential to think positive thoughts. This often means discerning silver linings where others see only clouds.

Flexibility is essential. Once, I believed that only the physicians treating patients should define and take charge of their care. Managed care has successfully challenged this philosophy by showing that patients (and doctors) are more similar than they are different. Also, I have learned that an obsessive concentration on the doctor–patient relationship distracts me from attending to the needs . . . [Full Text of this Article]

Source Information

1838 El Camino Real #102
Burlingame, CA 94010

References

This article has been cited by other articles:

• Chehab, E. L., Panicker, N., Alper, P. R., Baker, L. C., Wilson, S. R., Raffin, T. A. (2001). The Impact of Practice Setting on Physician Perceptions of the Quality of Practice and Patient Care in the Managed Care Era. Arch Intern Med 161: 202-211 [Abstract] [Full Text]