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Added to that is a low quantity of doctors generally, and fistula surgeons specifically, in developing countries where the need is highest.
Having sufficient quality and quantity of doctors is thus vital to make health systems function effectively and to ensure the health of the entire population.
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However, since physician notes can contain patient names, home addresses, social security numbers, and other types of Protected Health Information PHII) [ 10], vast quantities of doctors' notes have gone largely unused for medical research studies.
At the same time, the quantity of barefoot doctors increased dramatically as they were allowed to provide medical services after a short period of training at a county or community hospital [ 14].
The differences can show up in the types and quantities of drugs doctors prescribe, the kinds and numbers of operations performed, even what blood pressure levels are thought to require treatment.
In 2015, his administration set a goal for half of all Medicare payments to be tied to the quality, instead of the quantity, of care that doctors and hospitals provide by 2018.
The wish for more information on sexual problems from the doctors correlates negatively with the quantity of communication between patients and doctors (Spearman's Rho: −0.20; P<0.001).
Additionally, this might be related to the improvement that might occur in facilitating service delivery associated with increasing of doctors as their quantity is few in developing country compared to the number of patient each serve.
And of course we should consider structural reforms to our health care system, such as tilting the compensation of doctors toward results, rather than quantity of services rendered.
The law created bundled payments, so that Medicare would pay hospitals or groups of doctors based on quality, not quantity, of care.
Pilot programs in Medicare, for example, will reward doctors for the quality, not quantity, of care they deliver and will encourage greater coordination among doctors and institutions that typically work in isolation.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com