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Who should be measuring quality; should it be the provider, the payer, or the patient?

Physician Philanthropy or Profit In any production model, one of the key measures of successful output is that of quality. In healthcare where there are so many variables (e.g. patients initial health, providers experience level, etc.) is it possible to truly gauge the quality of services rendered? Who should be measuring quality; should it be the provider, the payer, or the patient?

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