FREE NEJM E-TOC    HOME   |   SUBSCRIBE   |   CURRENT ISSUE   |   PAST ISSUES   |   COLLECTIONS   |   Search Term  Advanced Search

Sign in | Get NEJM's E-Mail Table of Contents — Free | Subscribe

Previous Volume 328:1788-1790 June 17, 1993 Number 24 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

	Full Text Add to Personal Archive Add to Citation Manager Notify a Friend E-mail When Cited

To the Editor: While providing an excellent overview of the Medicare system, Iglehart (Nov. 12 issue)¹ glosses over the effects of prospective payment on medical practice by summarily stating that no "systematic pattern of diminished quality" of care has been uncovered. His conclusion, however, not only overstates the quality of care but also neglects the issue of access to care for uninsured, non-Medicare beneficiaries under the prospective payment system.

Several studies, documenting higher mortality due to more serious sickness at admission,² increased numbers of deaths after discharge,³ and reduced access to outpatient care for indigent and minority patients⁴ under the . . . [Full Text of this Article]

References

HOME  |  SUBSCRIBE  |  SEARCH  |  CURRENT ISSUE  |  PAST ISSUES  |  COLLECTIONS  |  PRIVACY  |  TERMS OF USE  |  HELP  |  beta.nejm.org Comments and questions? Please contact us. The New England Journal of Medicine is owned, published, and copyrighted © 2009 Massachusetts Medical Society. All rights reserved.