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Volume 13 (3)
Volume 13, Issue 3, 1993 
J Contin Educ Health Prof 1993; 13(3):195-209
ORIGINAL ARTICLE
Stephen J. Jay, MD James G. Anderson, PhD A b s t r a c t Mounting public concern regarding the cost of and access to health care in the United States has moved the issue of health care reform (HCR) to a priority position on the policy and legislative agendas of the current administration. Regardless of the directions taken by reform initiatives, it is inevitable that their ultimate impact on cost, quality, and access issues will depend upon the extent to which practicing physicians adopt clinical management strategies that directly influence and continuously improve the efficiency, effectiveness, appropriateness, and humaneness of patient care. Some proponents of HCR favor central control and regulation strategies to modify physicians' practice behavior; past history suggests that these approaches will likely fail. This paper proposes an alternate strategy to link, through health care policy (HCP) initiatives, the large existing infrastructure in continuing medical education (CME) to institution- and community-based programs designed to achieve optimum patient outcomes and resource consumption. The rationale for this proposition comes, in part, from a growing body of scientific literature which indicates that diverse CME interventions improve physician performance and, frequently, health care outcomes of patients. In addition, the adoption and diffusion among physicians of optimal patient management techniques are enhanced when practicing clinicians in a community are directly involved in designing and implementing problem -based learning programs. The CME community must engage in health care reform debates, develop coalitions, and begin to build HCP agendas that expand the role of CME as a cost-effective and politically sound mechanism for continuously enhancing physicians' lifelong learning and improving patient care outcomes. Keywords: Continuing medical education; cost of health care; enhancing physician practice; health care policy; health care reform; lifelong learning; linking CME and HCP; patient care outcomes; quality of health care |
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