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Changing the Health Care System: Models from Here and Abroad (1994)
Institute of Medicine (IOM)

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. "Response to Jo Ivey Boufford." Changing the Health Care System: Models from Here and Abroad. Washington, DC: The National Academies Press, 1994.

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Changing the Health Care System: Models from Here and Abroad

again, the doctors and the students will figure out a way to get around that if they believe that the ultimate outcome should be something different, unless the rewards are there for the long term. We must not lose sight of the question of what is the ultimate standing of the primary care provider in the society. In this society, it is measured by either dollars or control, unfortunately. We have to be very clear on how we are going to accomplish change.

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