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April 20, 1970

Paying the Doctor: Systems of Remuneration and Their Effects

Author Affiliations

American Medical Association Chicago

JAMA. 1970;212(3):483-484. doi:10.1001/jama.1970.03170160071029

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In the near future, the United States Congress will consider legislation which could drastically change the traditional method of paying for physician services. William Glaser's book, Paying the Doctor, is a descriptive analysis of the principal mechanisms adopted in other countries. The book is welldocumented and can serve as an excellent introduction to the issue.

The objective of this book is to demonstrate how various payment mechanisms affect the provision of health services. The author has drawn his information from 16 countries including Sweden, England, Israel, and the Soviet Union. His data have been collected from personal interviews and from publications. The evaluation of these facts is somewhat subjective. However, it is probably more a strength than a weakness since the reader can hardly remain disinterested.

The first five chapters of the book contain a discussion of the basic strengths and weaknesses of fee-forservice, salary, and capitation payment systems. The