Such a provider can even disrupt its own hospitals and specialist physicians by using lower-cost caregivers and venues of care.

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DC, has one of the country's highest concentrations of specialist physicians but some of the poorest indicators of general health.

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Karen has seen an internist, a neurologist, a neurosurgeon, an anesthesiologist, a cardiologist, a psychiatrist, a psychologist, an electrophysiologist and an integrative medicine specialist, not to mention countless other physicians during three hospital stays, and she's still fainting.

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Eventually, it envisions its product as a way for academic centers to benchmark their doctors against other organizations and a valuable resource for general physicians looking to refer their patient on to the right specialist.

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Every one of our physicians would rather spend a few more minutes than dump a patient off to a specialist when no specialist is required.

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Indeed, the only category of physicians where we find more physicians believing that the ACA was a step in the wrong direction are the surgical specialist who believe the law is bad news by a wide margin of 60 percent to 28 percent.

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Other physicians (those who do not fit into the categories of primary care, non-surgical specialist or surgical specialist) are overwhelmingly supportive of the notion that the ACA was a good beginning by a ratio of 68-32.

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