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Previous Volume 340:649-653 February 25, 1999 Number 8 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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To the Editor: Neither Grumbach et al. in their article on primary care physicians' experience of financial incentives in managed-care systems (Nov. 19 issue)¹ nor you, Dr. Kassirer, in your accompanying editorial² have addressed the fundamental conflict that is inherent in our health care system and that underlies the dissatisfaction of physicians. Our patients wear two hats and thus have two expectations of us. As a community of consumers, they demand cost containment and value in their health care system, but as sick patients in our offices, they expect complete and unrestricted access to the full spectrum of specialty, hospital, . . . [Full Text of this Article]

References

This article has been cited by other articles:

• Huff, E. D. (2000). Outpatient Utilization Patterns and Quality Outcomes after First Acute Episode of Mental Health Hospitalization: Is Some Better than None, and is More Service Associated with Better Outcomes?. Eval Health Prof 23: 441-456 [Abstract]