Tacit motivation and unarticulated
resistance
n Fellow clinicians leveled charges against each other – that
their colleagues’ stated reasons for a resisting outcomes
data and guidelines should not be believed – that their real
reasons were:
Profit
Ego
Ignorance
n Some of the objections offered seem to be rationalizations
n Also have local pressures, mores, and social dynamics
Age is felt to be a factor
Economic motivation is felt to be a factor
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