Dissatisfaction with medical care has increased among patients and providers, despite unprecedented medical successes.1-3 This paradox may be caused by a number of possible reasons, including a higher degree of patient education, improved access to information, criticism of the profession by the media, emergence of alternative forms of medicine that make unrealistic promises, increased cost of care, fragmentation of care into specialties and subspecialties, and divestment of primary care of its original role of patient advocacy.
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Balducci et al. (2001) studied this question.
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