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“The physician–patient encounter is health care’s choke point” -NEJM

A Country Doctor Writes

Since we basically don’t have a clue, let alone agreement, about what Quality really is ( see my 2009 post “ Quality or Conformity? And, as the NEJM article points out, there are no financial incentives to have nurses or other non-providers manage routine problems like hypertension in our current system.

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Oregon-based medical group Northwest Permanente announces affiliation with The Permanente Medical Group of Northern California

Permanente Medicine

Consolidation of hospitals, medical groups, and health plans are occurring throughout the United States,” said Dr. Koh. Both of our groups have walked the walk and have achieved superior and equitable patient outcomes, created fulfilling environments to practice medicine, and committed to managing the costs associated with care.”

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