0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
ARTICLE |

Surgical Health Care Delivery

Robert E. McCabe, MD
JAMA. 1983;249(9):1203. doi:10.1001/jama.1983.03330330081049.
Text Size: A A A
Published online

ABSTRACT

After two decades of costly new surgical procedures involving open heart surgery and multiple types of replacement therapies, the editor of this volume writes, "surgeons must become actively involved in research on surgical health care services." Rutkow has assembled a group of public health planners to discuss issues of ethics, morality, cost-effectiveness, and cost benefits of surgery in a decade of limited health care dollars.

Dr Rutkow has tackled the issue of a higher rate of surgery in the United States. Is such a high rate a consequence of fee for service, in contrast to the prepaid group practice of health maintenance organizations or to nations with nationalized health care programs? Do prepaid group practices and HMOs encourage less than optimal care by denying or delaying elective surgery? Have the surgical second-opinion programs been cost-effective while promoting higher-quality surgical care? What constitutes the "unnecessary surgical procedure"? The authors have addressed

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Figures

Tables

References

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();