Though physicians believed that only physicians could and should judge the quality of hospital medical care, they found participation in such hospital peer review activities a most disagreeable obligation. What were the problems with the process? Managed care organization credentialing by the National Committee on Quality Assurance rapidly evolved as a standard of quality in the industry. Discuss the pros and cons on the value of credentialing by an independent organization to a managed care organization and to consumers. How does medical technology affect the communication between healthcare providers and patients? What affect does this have on the quality of care?