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Previous Volume 339:397-398 August 6, 1998 Number 6 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.

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The reorganization of health care is profoundly influencing the roles, responsibilities, and even the loyalties of physicians. The accelerated disappearance of the solo practitioner has been matched by an increase in the number of physicians who belong to various complex organizational groupings, including independent practice associations (IPAs), physician–hospital organizations (PHOs), and group- and staff-model health maintenance organizations (HMOs). No matter what the physician reimbursement mechanism is in each plan (fee-for-service or global capitation), plan administrators expect individual physicians or groups of physicians to stay within a fixed budget for their panels of patients. To achieve this goal, many try to . . . [Full Text of this Article]

References

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A New Ethic for Medicine?
Menendez R., Zwelling-Aamot M. L., White T. M., Blackwell B., Shelman K., Brody H., Hall M. A., Berenson R. A., Crosson F. J., Rubin H., Kassirer J. P.
Extract | Full Text  
N Engl J Med 1998; 339:1326-1328, Oct 29, 1998. Correspondence

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