id author title date pages extension mime words sentences flesch summary cache txt cord-310872-2z1wnj63 Spellberg, Brad Alignment With Market Forces: The “Re-Whithering” of Infectious Diseases 2020-06-20 .txt text/plain 2901 165 52 Approximately 35 years after Dr. Petersdorf first asked the question, we find ourselves once again wondering, "Whither Infectious Diseases?" To answer this question, and align with predominant US market forces, ID experts should push for the following: (1) restrictions regarding utilization of ID diagnostics and antimicrobial agents; (2) pay-for-performance measures regarding antimicrobial prescribing rates; and (3) healthcare reform as called for by the American College of Physicians to move away from fee-for-service medicine. Infectious diseases practitioners may be better at diagnosing and treating infections than those who practice other specialties, but to what financial advantage to healthcare systems that hang on by their fingernails with operating margins under 2% [16, 17] ? First, ID practitioners have unique expertise in the diagnosis and treatment of infections, which can lead to less antimicrobial resistance and superinfections, better outcomes, and lower cost for patients and health systems. ./cache/cord-310872-2z1wnj63.txt ./txt/cord-310872-2z1wnj63.txt