Document Detail


Cost containment and changing physicians' practice behavior. Can the fox learn to guard the chicken coop?
MedLine Citation:
PMID:  7197307     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The important role of physicians in the generation of medical care costs is evident, but methods of inducing physicians to participate in cost-containment efforts are not well developed. Efforts to change physicians' use of medical services have included education, peer review and feedback, administrative changes, participation, penalties, and rewards. Although educational programs have had mixed success, those using individualized instruction have been most effective. Several feedback and peer-review programs have demonstrated reductions in costs, as have administrative interventions. While penalties and direct rewards may be effective, alterations in the current reimbursement system could offer financial incentives to physicians who practice in a cost-effective manner.
Authors:
J M Eisenberg; S V Williams
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  JAMA : the journal of the American Medical Association     Volume:  246     ISSN:  0098-7484     ISO Abbreviation:  JAMA     Publication Date:  1981 Nov 
Date Detail:
Created Date:  1981-12-15     Completed Date:  1981-12-15     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7501160     Medline TA:  JAMA     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  2195-201     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Cost Control / trends*
Diagnostic Tests, Routine / economics*
Economics, Medical / trends*
Education, Medical, Continuing / standards
Health Services Needs and Demand
Physician's Role*
Professional Review Organizations / economics
Reimbursement, Incentive / methods
Role*
Token Economy
United States

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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