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There is however evidence suggesting that LOS are influenced by managing physician attributes and the quality of care organisation.
Dr. Andrew Star, the managing physician of the Orthopedic Specialty Center in Willow Grove, Pa., said the average cost of coverage for the 12 surgeons in his group had jumped from $85,000 last year to $150,000 this year, including the payment to the state fund.
Galactomannan antigen (GM) detection in plasma and in bronchoalveolar lavage (BAL) fluid was performed at the discretion of the managing physician.
Soft tissue sarcomas like other malignancies, impact negatively on patients and their caregivers as well as pose a challenge to the managing physician with variable treatment outcomes.
Antifungal therapy (voriconazole, caspofungin or liposomal amphotericin B) was administered at the discretion of the managing physician and not initiated on the sole basis of a positive GM in serum or in BAL fluid.
For the managing physician, these differences imply different ventilatory strategies in these two groups.
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Managers therefore tended to rely on this physician role, their own or that of subordinate managers, in managing physicians.
This pilot study showed that the interviews provided extensive information about the managers' experiences in managing physicians and that the respondents to a large extent seemed to describe general aspects regarding management of physicians.
A fourth management strategy was to rely on the physician role instead of the manager role when it came to managing physicians.
(G.nP) In such statements, the demands of managing physicians were not associated with the managers' strategies or behaviour, but rather with the physicians' high standing in the organisation.
Of course this might indicate that managers at subordinate levels in the organisation experience the task of managing physicians as very troublesome, and that this perception is also conveyed to the highest levels in the organisation.
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