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

A Country Doctor Writes

Most medical practices are still stuck doing piecework. Even the required operational framework for Patient Centered Medical Home recognition is completely top-down. Since we basically don’t have a clue, let alone agreement, about what Quality really is ( see my 2009 post “ Quality or Conformity?

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

Permanente Medicine

Affiliation will allow groups to drive high-value care and innovation PORTLAND, ORE, April 16, 2025 – Oregon-based Northwest Permanente (NWP) and The Permanente Medical Group (TPMG) of Northern California announced a formal affiliation today. Most transactions are largely focused on size, scale, and finance.

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