A sample study of 216 physicians in the St. Louis Metropolitan area reveals a statistically significant difference in dealing with important issues in patient management between Foreign Medical and U.S. Medical graduates. Using the prospective payment systems (PPS) as a test case, this study shows that attitude toward patient management is significantly different in three controversial areas: consumer benefit, inclusion of physician's fee into the PPS, and quality of care. This study raises important questions in health care policy.
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