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Published in: Clinical Orthopaedics and Related Research® 2/2014

01-02-2014 | Not the Last Word

Not By Bread Alone: Shortcomings of the Pay-For-Performance Approach

Author: Joseph Bernstein, MD

Published in: Clinical Orthopaedics and Related Research® | Issue 2/2014

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Excerpt

These days, surgeons are fixing clavicle fractures more frequently. It is fair to wonder why. After all, it was only 1994 when Jupiter and Mullaji [11] declared that “internal fixation of the clavicle is rarely necessary.” One explanation is that we may simply have learned that fixation is, in fact, the superior approach [4]. Another explanation might be cognitive or social biases. For example, our experience with fibulas and femurs may produce a false belief that broken bones are happier with hardware. Surgeons may also have noticed that patients are more grateful when a bone heals after an operation. …
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Metadata
Title
Not By Bread Alone: Shortcomings of the Pay-For-Performance Approach
Author
Joseph Bernstein, MD
Publication date
01-02-2014
Publisher
Springer US
Published in
Clinical Orthopaedics and Related Research® / Issue 2/2014
Print ISSN: 0009-921X
Electronic ISSN: 1528-1132
DOI
https://doi.org/10.1007/s11999-013-3417-5

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