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Volume 357:2649-2652 December 27, 2007 Number 26 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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Over the past decade, public reporting on health care performance has become increasingly common. But whereas most reporting has concentrated on the quality of care in health maintenance organizations, hospitals, or large medical practices, health care purchasers are now focusing on identifying which individual physicians deliver good care most efficiently. The appropriate way to measure physicians' efficiency — and the proper uses for such measurements — is a matter of disagreement between those who pay for health care and those who provide it.

Knowledge about physicians' efficiency could be helpful to patients who increasingly struggle to afford premiums, deductibles, and . . . [Full Text of this Article]

Source Information

Dr. Milstein is the chief physician at Mercer Health and Benefits and medical director of the Pacific Business Group on Health — both in San Francisco. Dr. Lee is network president for Partners Healthcare in Boston and an associate editor of the Journal.

A video interview with Dr. Thomas Lee can be viewed at www.nejm.org.

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