As health care costs continue to increase rapidly, both healthcare providers and consumers have expressed concern that theadditional resources used for health services do not providecommensurate increases in health benefits. Adding fuel to thisconcern, a number of disquieting studies have estimated therates of "inappropriate" use in a variety of settings of a varietyof procedures such as coronary angiography, carotid endarterectomy,endoscopy, and coronary-artery bypass graft surgery1,2,3,4.The estimated rates of inappropriate treatment have ranged fromabout 15 to 30 percent, reaching as high as 40 percent for particularprocedures at individual institutions. Recent . . . [Full Text of this Article]
Methods
Results
Discussion
Source Information
From the Department of Community and Preventive Medicine, University of Rochester School of Medicine and Dentistry, 601 Elmwood Ave., Box 644, Rochester, NY 14642, where reprint requests should be addressed to Dr. Phelps.
References
Appendix
Related Letters:
Appropriateness Studies
Black N., Park R. E., Brook R. H., Dubois R. W., Hall M. A., Phelps C. E., Kassirer J. P.
Extract |
Full Text
N Engl J Med 1994;
330:432-434, Feb 10, 1994.
Correspondence
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