pˈeɪʃənts, wˌɛn mˈuːvd ˈɔf əvə ˌɛfˌɛfˈɛs mˈɑːdəl, mˌeɪhɐv ðɛɹ tʃˈɔɪsᵻz ʌv fɪzˈɪʃənz ɹᵻstɹˈɪktᵻd, æz wʌz dˈʌn ɪnðə nˈɛðɜːləndz ɐtˈɛmpt tə mˈuːv tə kˈoʊˈɔːɹdᵻnəɾᵻd kˈɛɹ.
Patients, when moved off of a FFS model, may have their choices of physicians restricted, as was done in the Netherlands' attempt to move to co-ordinated care.