Money and the Changing Culture of Medicine

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Abstract
Rapidly rising health care costs over recent decades have prompted the application of business practices to medicine, with the goals of improving efficiency, restraining expenses, and increasing quality. In the wake of the current economic crisis and the advent of a new presidential administration, even more attention will be focused on containing costs in the health care system. Price tags are being applied to every aspect of a doctor's day, creating an acute awareness of costs and reimbursement. Physicians are now routinely provided with profit-and-loss reports reflecting their activity, and metrics are calculated to measure the cost-effectiveness of their work. . . .

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