On 03/14/98 09:22:16, Ian Trimble <[log in to unmask]> wrote:
>HMOs in the USA have variable clinician involvement, though Clive Smee
>(Chief Economist at the DoH) has observed that those with greatest
>clinician involvement are the most successful. It is perhaps no
>coincidence that in the UK GPs are being offered a real voice in how
>the Primary Care Groups will develop.
If it HMOs we are talking about (which I think it is), then this is one
of the most compelling reasons why I do NOT want to be part of PCG/HMO,
thank you Trims!
I think doctors in the UK really need to know what the HMO model is
about before jumping in head first.
The HMO model is America has proved to be a disgrace, suits nobody
except the politicians, expensive to run and provides very poor service
for the average American.
I shall be posting various pointers to objective critiques of the HMO
model shortly so that you go into this with your eyes wide open.
>I think we are being offered a simple choice: manage or be managed.
Sorry, Trims, the choice as I see it is: acquiesce and be managed or be
managed without that acquiescence.
Ahmad
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Dr Ahmad Risk
http://www.cybermedic.org
Chairman British Healthcare Internet Association <http://www.bhia.org>
Director Internet Healthcare Coalition - USA <http://www.ihc.net>
Home: +44 1273 724866/748198
Work: +44(1737)240022 Fax: +44 1737 244660
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