Provider-Patient Relations and Treatment Choice in the Era of Fiscal Incentives: The Case of the End-Stage Renal Disease Program

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Abstract
Debates about the extent to which patients can and should participate in medical decision making take on new urgency as cost-containment efforts give patients more financial incentives. The Health Care Financing Administration's recent proposal to enable dialysis patients to "price shop" aroused consternation among nephrologists. A working seminar elucidated their fears about professional incomes and about increased patient autonomy.

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