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Special Article
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Volume 329:1241-1245 October 21, 1993 Number 17
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The Methodologic Foundations of Studies of the Appropriateness of Medical Care
Charles E. Phelps

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As health care costs continue to increase rapidly, both health care providers and consumers have expressed concern that the additional resources used for health services do not provide commensurate increases in health benefits. Adding fuel to this concern, a number of disquieting studies have estimated the rates of "inappropriate" use in a variety of settings of a variety of 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 from about 15 to 30 percent, reaching as high as 40 percent for particular procedures at individual institutions. Recent . . . [Full Text of this Article]

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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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