title: Quality improvement in an era of managed care.
abstract: As health care costs have escalated, government and business have become bold in their willingness to interfere in the clinical decision-making process in order to save money. Their tendency is to cut services, and physicians fear that the potential medical consequences of such cutbacks are only secondary considerations. These efforts threaten physician autonomy and authority. Doctors find themselves in an environment of uncertainty and vulnerability.
authors.affiliation: Thomas Jefferson University, Philadelphia, USA.
authors.forename: M J
authors.initials: MJ
authors.lastname: Slavin
mesh_terms: D017048:Health Care Costs / Q000592:standards / Q000639:trends; D006801:Humans; D008329:Managed Care Programs / Q000191:economics / Q000592:standards; D011787:Quality of Health Care / Q000191:economics / Q000592:standards