ARTHUR S. ELSTEIN, Ph.D.
That the social structure of medical practice in the United States is undergoing rapid and profound change is a proposition beyond argument. Medical journals and the popular press testify daily to vast changes in the organizational structures within which physicians and other health professionals work and through which patients receive care. The catalyst for some of these transformations has been the federal government, responding to growing public pressure first for greater access for the elderly to adequate care and then for protection against the mounting costs created, in part, by a system that encouraged the proliferation of high-cost technologies by
ELSTEIN AS. Consultation and Referral in New Medical-Practice Environments: A Gloomy Outlook?. Ann Intern Med. ;103:616–617. doi: 10.7326/0003-4819-103-4-616
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Published: Ann Intern Med. 1985;103(4):616-617.
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