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It has been argued that physicians make limited efforts to foster patient involvement and autonomy that induce self-efficacy [ 5].
However, it has been argued that physicians appeared to make minimal efforts to foster patient involvement and autonomy that induce self-efficacy [ 2].
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First, it has been argued that physician involvement in planning and decision making holds a great promise for aligning hospital and physician interests [ 28].
Nevertheless, given the existence of asymmetric information between providers and patients, it may be argued that physicians would be likely to induce service use.
It might be argued that physicians could access the costs elsewhere, although some authors have reported accurate costs are difficult to find [19], [20].
It has been argued that effective communication between physician and patient must address culturally-sensitive concerns to adequately influence decision making and health seeking behaviors of patients [ 32, 33, 46].
On the other hand, it has been argued that the exception creates financial incentives for physicians to increase the volume of services provided [14].
About the first consideration, it has been argued that rationing is necessary, and that since physicians are best able to recognize appropriate cases for rationing they should sometimes ration at the bedside.
In this context, it might be argued that our physicians were not appropriately trained.
This negative attitude on the part of some physicians found in our study is confirmed by recent official statements, e.g. by the German Medical Association, in which it is argued that nursing home physicians would not solve the main problem of inappropriately low financing of the time-consuming medical care for nursing home residents [ 28].
The negative attitude on the part of the doctors' representatives found in our study is confirmed by recent official statements, e.g. by the German Medical Association: it is argued that nursing home physicians would not solve the main problem of the inappropriately low financing of the time-consuming medical care for nursing home residents [ 20].
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com