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In a 2012 survey of 3897 randomly selected US physicians to assess physicians’ perceived
roles and responsibilities in addressing health care costs, Tilburt and colleagues found that the
responding physicians accepted some responsibility to address health costs, but they were more
likely to assign major cost-reduction responsibility to other groups including, insurers, trial
lawyers, hospitals and health systems, pharmaceutical and device manufacturers, and patients. The
respondents expressed general agreement with several quality initiatives to reduce costs but
reported less enthusiasm for cost-containment involving changes in payment models, such as
eliminating fee-for-service payment. In an Editorial, Emanuel and Steinmetz discuss why physicians
must take the lead in controlling health care costs.
Highlights. JAMA. 2013;310(4):341–343. doi:10.1001/jama.2013.5222
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