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Overall, liberal systems exhibited the most enthusiastic adoption of P4P, with significant physician acceptance, generous incentives and positive but modest program effects.
After Hippocrates, the next significant physician was Galen, a Greek who lived from AD 129 to AD 200.
The workforce variables, when controlling for the per capita expenditure on health, were both significant: physician density with standardized regression coefficients (beta) of -0.52 and nurse density = -0.22.
Since most ASCs are for profit enterprises with significant physician ownership,[ 27, 28] physicians have active incentives to ensure high reimbursement through these facilities.
There are no restrictions in the number of patients eligible for GIPAP in any participating country and, as this is a program requiring significant physician input, new patients are enrolled as long as a qualified physician assumes responsibility for them.
While there have been a number of studies showing good outcomes in treating pediatric populations with ARVs in resource-constrained settings [ 5- 16], these programs have essentially been carried out in hospital settings and/or with significant physician involvement.
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The most significant physician-related factor affecting the variation in prescribing of sick leave was the type of main working sector.
Children in the trauma group showed, e.g. significant more physician (estimated relative risk R′ 1.7) and psychologist (R′ 3.5) visits.
Although differences were not statistically significant, LEIF physicians also tended to more often discuss the request with the attending physician and the family than non-LEIF physicians.
Likewise, between-group differences were not significant based on physician specialty (71.4 vs. 70.8% seeing a primary care physician, P = 0.760; 22.7 vs. 22.1% seeing a headache specialist, P = 0.750; and 5.8 vs. 7.1% seeing other or no physician, P = 0.273).
The cut can be attributed to "slow growth in the economy and to a significant growth in physician outlays," the Department of Health and Human Services stated.
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