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The American Health Care System Previous Volume 340:584-588 February 18, 1999 Number 7

	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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As the 20th century closes, the practice of medicine in the United States faces challenges as great as it ever has. On the one hand, medical science and technology have brought unimaginable benefits to the American population. On the other hand, these advances have contributed to the escalation of health care costs above what many people are able to pay. Physicians are caught in the middle — pressured by private and governmental purchasers of health care to keep costs down, while driven by the public and their own professional standards to do everything that might be beneficial for each patient.

. . . [Full Text of this Article]

Physicians' Organizations

IPAs

Medical Groups

Physician-Practice–Management Companies

Physician–Hospital Organizations

Group-Model and Staff-Model HMOs

Individual Practices and Small Group Practices

Methods of Compensating Physicians

Time Spent by Physicians with Patients

Relation between Primary Care and Specialist Physicians

The Physician Work Force

What Now?

References

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