The full content of Annals is available to subscribers

Subscribe/Learn More  >
Editorials |

Physicians in Control of the Capitated Dollar: Do unto Others …

Stanley Goldfarb, MD
[+] Article, Author, and Disclosure Information

From Graduate Health System Philadelphia, PA 19103. Requests for Reprints: Stanley Goldfarb, MD, Graduate Health System, 2129 Chestnut Street, Philadelphia, PA 19103.

Copyright ©2004 by the American College of Physicians

Ann Intern Med. 1995;123(7):546-547. doi:10.7326/0003-4819-123-7-199510010-00010
Text Size: A A A

The medical profession and its leadership have loudly questioned the effect that marketplace-driven changes are having and will have on the practice of medicine and the physician–patient relationship [1]. For-profit health care delivery organizations are seen as having an unavoidable conflict between the interests of patients and those of shareholders [23]. Some believe that physician-led organizations delivering health care would avoid the stockholder-satisfying mentality of many for-profit insurance companies and, therefore, that physician-directed enterprises would direct more resources toward patient care and fewer into providing a return on stockholders' investments [4]. However, these conclusions depend on the assumption that physicians will act differently than managed care companies when faced with the economic imperative of a fully prepaid system in which they are at full financial risk. Implicit in previous criticisms of the efforts of insurance companies to manage medical care is the concern that medical management really means denial of needed services.

First Page Preview

View Large
First page PDF preview





Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).


Submit a Comment/Letter
Submit a Comment/Letter

Summary for Patients

Clinical Slide Sets

Terms of Use

The In the Clinic® slide sets are owned and copyrighted by the American College of Physicians (ACP). All text, graphics, trademarks, and other intellectual property incorporated into the slide sets remain the sole and exclusive property of the ACP. The slide sets may be used only by the person who downloads or purchases them and only for the purpose of presenting them during not-for-profit educational activities. Users may incorporate the entire slide set or selected individual slides into their own teaching presentations but may not alter the content of the slides in any way or remove the ACP copyright notice. Users may make print copies for use as hand-outs for the audience the user is personally addressing but may not otherwise reproduce or distribute the slides by any means or media, including but not limited to sending them as e-mail attachments, posting them on Internet or Intranet sites, publishing them in meeting proceedings, or making them available for sale or distribution in any unauthorized form, without the express written permission of the ACP. Unauthorized use of the In the Clinic slide sets will constitute copyright infringement.


Buy Now for $32.00

to gain full access to the content and tools.

Want to Subscribe?

Learn more about subscription options

Related Articles
Topic Collections
PubMed Articles
Forgot your password?
Enter your username and email address. We'll send you a reminder to the email address on record.