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Viewpoint |

Professionalism, Self-regulation, and Motivation How Did Health Care Get This So Wrong?

James L. Madara, MD1,2; Jon Burkhart3
[+] Author Affiliations
1Chief Executive Officer, American Medical Association, Chicago, Illinois
2Feinberg School of Medicine, Northwestern University, Chicago, Illinois
3Chief of Staff and Vice President, Executive Offices, American Medical Association, Chicago, Illinois
JAMA. 2015;313(18):1793-1794. doi:10.1001/jama.2015.4045.
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This Viewpoint discusses structuring practice environments with incentives and motivators of professionalism to help physicians accomplish the Triple Aim of better health, better health care, and lower cost.

What is the role of professional organizations and societies in the medical profession’s long-standing tradition of self-regulation, and what actions and influences might enhance the ability of the medical profession to operate effectively and responsibly? Such questions seem natural given the rapidly changing health care system with the emergence of a plethora of new payment and delivery models—all hoping to achieve the Institute for Healthcare Improvement’s Triple Aim initiative for better health, better health care, and lower cost. It is critical that the medical profession demonstrate its ability to respond to these changing environments in ways that both acknowledge and advance society’s interest in having an optimal physician workforce. It is equally critical to understand factors that underpin the noblest traits in physicians then deploy this knowledge in shaping delivery systems that emerge.

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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