TY  - JOUR
T1  - THe 300-year-old health care solution
AU  - Beyer H
Y1  - 2009/10/26
N1  - 10.1001/archinternmed.2009.365
JO  - Archives of Internal Medicine
SP  - 1806
EP  - 1818
VL  - 169
IS  - 19
N2  - 

			The health care reforms described by Diamond et al1 would create “evidence-based” codified medical practice standards. Their proposal and similar “pay-for-performance” programs will lead to “straight-jacket” medicine, in which to receive payment and avoid legal and economic sanctions, the goal will become to ensure that patients receive the correct codified treatment, not necessarily the one best suited. The danger is that patients may receive more inappropriate care, not less, as more who approximate falling within the guideline are included and fewer who fall within guidelines but may have caveats are not excluded—all for assured payment and to avoid penalties.
		

SN  - 0003-9926
M3  - doi: 10.1001/archinternmed.2009.365
UR  - http://dx.doi.org/10.1001/archinternmed.2009.365
ER  -