id	author	title	date	pages	extension	mime	words	sentences	flesch	summary	cache	txt
cord-030380-okue1kso	McWilliams, J. Michael	Professionalism Revealed: Rethinking Quality Improvement in the Wake of a Pandemic	2020-07-22		.txt	text/plain	5912	290	43	Conceptually, with informed and motivated professionals as their agents, patients effectively become discerning consumers capable of driving healthy competition in health care markets where extrinsic pressure may be needed to encourage highquality care (e.g., primary care physicians [PCPs] directing patients to the safest hospitals or surgeons selecting the best devices). (This article focuses largely on physician agency as an instructive case, but other health care professionals act as agents, too, presenting analogous issues that are no less important.) Potential refinements notwithstanding, the dissatisfying pace of quality improvement over the last 2 decades should tell us that measure-reliant approaches are unlikely to deliver on their promise." As the concept of quality is reduced to that which is measured, improvement redefined as higher scores, extrinsic judgments elevated above unseen efforts, and time for patients and colleagues hijacked by box-checking, demoralization sets in.17 , 18 Purpose is undermined as demands on physicians diverge from their values, professional identity is lost, and intrinsic motivation gives way to a self-fulfilling prophecy that physicians care only about financial incentives.	./cache/cord-030380-okue1kso.txt	./txt/cord-030380-okue1kso.txt