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Issue Date: December 15, 1999

System Will Collect Cardiac Care Data From Hospitals in 14 Countries
This article discusses the new Global Registry of Acute Coronary Events (GRACE)and how its data-collection efforts will be used to help physicians improve the care of cardiac patients worldwide.

Medical Director's Role Evolves
This commentary discusses how the role of medical director is becoming more business-oriented rather than purely clinical, as it was in the past.

Group Links Guidelines and Outcomes
This article discusses how a 200-member physician group introduced practice guidelines for the treatment of patients with asthma and the results of that initiative.

Physicians Should Manage Patients' Expectations, Consultant- Author Says
This interview focuses on the importance of physicians' communication skills and how those skills can help doctors improve their rapport with patients.

Practitioners Have Their Reasons for Going Solo
This editorial discusses the pros and cons of being a solo practitioner.

HMOs Need Scientific Approach to Data
This article puts forth arguments that lead the author to conclude that "the inexorable logic of episodes of care and the systems that surround them will inevitably win favor, marking the opening era of physician-driven, bottom-up reform and the closing era of top-down, plan-driven managed care."

Center Struggles Under Managed Care
This column suggests strategies that academic medical centers and their faculties can consider in their struggle to compete in a market dominated by the pressures brought on by managed care.

HIV Expertise Required to Optimize Management
This article discusses the results of a research effort to find a link between patient outcomes and the type of care provided to HIV patients.

Michigan Podiatric Group Fosters Growth by Nurturing Referrals
This cover story focuses on the practice strategies of a podiatric physician in Michigan, whose practice gets 30 to 40 referrals each week from patients, family care physicians, and other relationships he has sought to nurture.

Ohio IPA Aims for Provider Integration
This feature takes an indepth look at an IPA in Ohio that seeks to operate as an integrated provider organization as opposed to an independent practice association, and pursues strategic relationships that help build patient volume and enhance managed care negotiating strength.