Why have providers not been able to manage the gap (variance) between patient needs and healthcare resources

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Why have providers not been able to manage the gap (variance) between patient needs and healthcare resources effectively?

a. It is difficult to determine the actual variance.

b. The interventions selected by an individual provider to manage the variance are not known to the others on the healthcare team.

c. The individual provider feels abandoned by the system.

d. Ownership of the problem and the solution rests with the healthcare team.

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