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The Orthopaedic Forum   |    
Recent Socioeconomic Trends in Orthopaedic Practice
James H. Herndon, MD, MBA; Stephen M. Davidson, PhD; Alexios Apazidis, MBA
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James H. Herndon, MD, MBA
Partners HealthCare System, Department of Orthopaedic Surgery, Massachusetts General Hospital, 55 Fruit Street, GRB 624, Boston, MA 02114

Stephen M. Davidson, PhD
Boston University School of Management, 595 Commonwealth Avenue, Boston, MA 02215

Alexios Apazidis, MBA
Boston University School of Medicine, 12 Rose Way, Randolph, MA 02368

The authors did not receive grants or outside funding in support of their research or preparation of this manuscript. They did not receive payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, educational institution, or other charitable or nonprofit organization with which the authors are affiliated or associated.

J Bone Joint Surg Am, 2001 Jul 01;83(7):1097-1105
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Extract

In the last fifteen years, there have been great changes in the American health-care system. Driven by an increasingly persistent concern about double-digit increases in expenditures, large employers have led a mass migration from indemnity insurance to managed care1. The transition process has not been particularly smooth, however, leading to a backlash against managed care on the part of the general public and physicians2,3. In this article, we examine socioeconomic trends in orthopaedic practice that occurred during this period, including issues related to the workforce, the changing population, and managed care.
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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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