1.For quality I think the root of the problem is our payment structure.

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Doctors, to this point, have been paid on a fee for service basis. This means every time you have any visit the doctor gets paid. Having a patient go to several doctors and specialists enriches the medical practioners. It is also rude to not take a consult and if consults are refused then future consults are not made. This is not always in the best interest of the patient. What are your thoughts on this? Why? 150-200 words

2.Present a conceptual framework for measuring the quality of health care. 150-200 words

3.Provide a definition of quality that focuses on the outcomes of care.150-200 words

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