Letter to the Editor

Redesigning Payment of Internal Medicine: A Financial Challenge

Authors: Ishak A. Mansi, MD, FACP, Daniel Banks, MD, MS, FACP

Abstract

In the recent position paper of the American College of Physicians on “Reform of the Dysfunctional Healthcare Payment and Delivery System,” various recommendations were made to improve compensation of cognitive versus procedural medicine.1 Current financial compensation for generalists is a main factor in the decline of new residents entering the field of internal and family medicine.2–4

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References

1. Reform of dysfunctional healthcare payment and delivery system. American College of Physicians: a position paper. Available at: www.acponline.org/college/pressroom/as06/dysfunctional_payment.pdf. Accessed April 19, 2006.
 
2. Larson EB, Roberts KB, Grumbach K. Primary care, generalism, public good: deja vu? Again! Ann Intern Med 2005;142:671–674.
 
3. Sox HC. The future of primary care. Ann Intern Med 2003;138:230–232.
 
4. Ginsburg PB. Payment and the future of primary care. Ann Intern Med 2003;138:233–234.
 
5. Still R. Internal Medicine: average overhead expenses. Available at:http://www.medicalmanagement.com/aac/aac0306019-2.htm. Accessed April 19, 2006.