Strong disagreement do arise, among the five parties' definitions (i.e. the clinician's, the patient's the payers, the manager's and the society's), even outside the realm of cost effectiveness. Conflicts typically arise when:
- Practitioners who are highly skilled in trauma and other emergency care B. Each group emphasizes a particular aspect of care
- One party holds that a particular practitioner or clinic is a high quality provider by virtue of having high ratings on single aspect of care
- The facility receives top marks from a team of expert clinicians whose primary focus is on technical performance
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