Starfield , 1994 . These physicians have the option to lessen the services or care that they can offer instead of increasing or delivering quality services . Next , the necessity to ensure there will be a long-term relationship between a client and his doctors is far from possibility because of aggressive managed care . In managed care , the employers have the option to change the contracts of their employees annually , thus , changing the selected primary care physicians as well (Starfield , 1994 . According to studies...











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