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March 23, 1994

Preservation of Physician-Patient Relationship Seen as Integral to Health Care System Reform

JAMA. 1994;271(12):892-893. doi:10.1001/jama.1994.03510360012006

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THE NEED for reform of the health care system in the United States is widely accepted, both socially and politically. But the long-term consequences have not been as widely discussed.

"What do we want to preserve in the system? What do we need to change?" asks Rodney E. Nichols, chief executive officer of the New York (NY) Academy of Sciences.

Changes are already here, says Parker Small, MD, professor of immunology and microbiology and professor of pediatrics, University of Florida College of Medicine, Gainesville, "and it isn't Washington that's bringing most of them about."

Both spoke at a conference on the changing health care system organized by the academy's president-elect, Henry Greenberg, MD, associate professor of clinical medicine, Columbia University College of Physicians and Surgeons, New York, NY.

The conference grappled with questions such as, What will happen to the physician-patient relationship? What changes are coming in medical education? What

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