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When It Comes to Primary Care, More May Be More:  Comment on “Encounter Frequency and Serum Glucose Level, Blood Pressure, and Cholesterol Level Control in Patients With Diabetes Mellitus”

Allan H. Goroll, MD, MACP
Arch Intern Med. 2011;171(17):1550-1551. doi:10.1001/archinternmed.2011.403.
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Current primary care practice under a dysfunctional fee-for-service payment system has been likened to being on a “hamster wheel,” where many physicians find that the only way to make ends meet is to increase visit volume and perhaps add a generously reimbursed procedure (eg, skin biopsy or ultrasonography) to the office visit. As one of my patients said, “You’d get paid much more if you cut my toenails while talking to me.” Patients are unhappy, physicians are demoralized, office staff are frazzled, and applications to primary care residencies have dropped to all-time lows.13

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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