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	<title>Comments on: The Boston Globe continues to spotlight the primary care crisis</title>
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	<description>medical blog</description>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2008/05/boston-globe-continues-to-spotlight.html/comment-page-1#comment-85885</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Thu, 29 May 2008 18:52:00 +0000</pubDate>
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		<description>Plesae explain to me how &quot;preventative care&quot; will change the daily presentation of otitis, sinusitis or pharyngitis.  Or for that matter how &quot;resetting&quot; the compensation for primary care will lead to more accurate, timely and effective diagnosis and treatment of these.</description>
		<content:encoded><![CDATA[<p>Plesae explain to me how &#8220;preventative care&#8221; will change the daily presentation of otitis, sinusitis or pharyngitis.  Or for that matter how &#8220;resetting&#8221; the compensation for primary care will lead to more accurate, timely and effective diagnosis and treatment of these.</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2008/05/boston-globe-continues-to-spotlight.html/comment-page-1#comment-85881</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Thu, 29 May 2008 17:13:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2008/05/the-boston-globe-continues-to-spotlight-the-primary-care-crisis.html#comment-85881</guid>
		<description>Her proposed solution to &quot;reset&quot; compensation rates shows she&#039;s stuck in the third party mindset that led to this problem.&lt;br/&gt;&lt;br/&gt;She proposes payment for quality (P4P) as part of the solution.  That&#039;ll add to the paperwork mess we&#039;re wallowing in now.&lt;br/&gt;&lt;br/&gt;Finally, she implies that prevention will save money, AFAIK there&#039;s no data to support that claim.</description>
		<content:encoded><![CDATA[<p>Her proposed solution to &#8220;reset&#8221; compensation rates shows she&#8217;s stuck in the third party mindset that led to this problem.</p>
<p>She proposes payment for quality (P4P) as part of the solution.  That&#8217;ll add to the paperwork mess we&#8217;re wallowing in now.</p>
<p>Finally, she implies that prevention will save money, AFAIK there&#8217;s no data to support that claim.</p>
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