0
May 19, 1989, Vol 261, No. 19 >
ARTICLE | May 19, 1989

Economics FREE

John M. Eisenberg, MD
JAMA. 1989;261(19):2840-2841. doi:10.1001/jama.1989.03420190116033
Text Size: A A A
Published online
Article
References

During the past year, both the lay and professional press recorded mounting concern about the economic consequences of clinical decision making. Business pages of major newspapers described the new emphasis on introducing cost-saving medical products (New York Times. October 4, 1988:34). The 1988 edition of a prestigious medical textbook1 asserted, "It is the physician's responsibility not only to hold down costs for society overall but also to know what the costs of tests and treatment are for individual patients and how much of the cost the patient will have to bear." The editor of a major journal heralded the advent of a new era in health care, when better information about costs and benefits will mean that "physicians will be in a much stronger position to advise their patients and determine the use of medical resources. "2 This excitement about the value of improved data on the cost-effectiveness of

REFERENCES

1 +
Johns RJ, Fortuin NJ.  Clinical information and clinical problem solving . In: Harvey AM, Johns RJ, McKusick VA, Owens AH, Ross RS, eds. The Principles and Practice of Medicine . Norwalk, Conn: Appleton & Lange; 1988;:1-4.
2 +
Relman AS.  Assessment and accountability: the third revolution in medical care . N Engl J Med. 1988;;319:1220-1222.
3 +
Drummond MF, Stoddart GL, Labelle R, Cushman R.  Health economics: an introduction for clinicians . Ann Intern Med. 1987;;107:88-92.
4 +
Drummond MF, Stoddart GL, Torrance GW. Methods for the Economic Evaluation of Health Care Programmes . Oxford, England: Oxford University Press; 1987;.
5 +
Arevalo JA, Washington AE.  Cost-effectiveness of prenatal screening and immunization for hepatitis B virus . JAMA . 1988;;259:365-369.
6 +
Kinosian BP, Eisenberg JM.  Cutting into cholesterol: cost-effective alternatives for treating hypercholesterolemia . JAMA . 1988;;259:2249-2254.
7 +
England WL, Gram CE, Weinberger MH, Roberta SD.  Cost-effectiveness in the detection of renal artery stenosis . J Gen Intern Med. 1988;;3:344-350.
8 +
Lee TH,Fukui TG,Weinstein MC,TostesonANA,Goldman L.  Cost-effectiveness of screening strategies for left main coronary disease in patients with stable angina . Med Decis Making. 1988;;8:268-278.
9 +
Joseph AM, Crowson TW, Rich EC.  Cost-effectiveness of Hemoquant versus Hemoccult for colorectal cancer screening . J Gen Intern Med. 1988;;3:132-138.
10 +
Eisenberg JM, Koffer H, Glick HA, et al.  What is the cost of nephrotoxicity associated with aminoglycosides? Ann Intern Med. 1987;;107:900-909.
11 +
Williams SV, Eisenberg JM.  A controlled trial to decrease the unnecessary use of diagnostic tests . J Gen Intern Med. 1986;;1:8-14.
12 +
Winslow CM, Solomon DH, Chassin MR, Kosecoff J, Merrick NJ, Brook RH.  The appropriateness of carotid endarterectomy . N Engl J Med. 1988;;318:721-727.
13 +
Wennberg JE, Mulley AG Jr, Hanley D, et al.  An assessment of prostatectomy for benign urinary tract obstruction: geographic variations and the evaluation of medical care outcomes . JAMA . 1988;;259:3027-3030.
14 +
Dubois RW, Brook RH.  Preventable deaths: who, how often, and why? Ann Intern Med. 1988;;109:582-589.

Figures

Tables

Interactive Graphics

Video

Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

1 +
Johns RJ, Fortuin NJ.  Clinical information and clinical problem solving . In: Harvey AM, Johns RJ, McKusick VA, Owens AH, Ross RS, eds. The Principles and Practice of Medicine . Norwalk, Conn: Appleton & Lange; 1988;:1-4.
2 +
Relman AS.  Assessment and accountability: the third revolution in medical care . N Engl J Med. 1988;;319:1220-1222.
3 +
Drummond MF, Stoddart GL, Labelle R, Cushman R.  Health economics: an introduction for clinicians . Ann Intern Med. 1987;;107:88-92.
4 +
Drummond MF, Stoddart GL, Torrance GW. Methods for the Economic Evaluation of Health Care Programmes . Oxford, England: Oxford University Press; 1987;.
5 +
Arevalo JA, Washington AE.  Cost-effectiveness of prenatal screening and immunization for hepatitis B virus . JAMA . 1988;;259:365-369.
6 +
Kinosian BP, Eisenberg JM.  Cutting into cholesterol: cost-effective alternatives for treating hypercholesterolemia . JAMA . 1988;;259:2249-2254.
7 +
England WL, Gram CE, Weinberger MH, Roberta SD.  Cost-effectiveness in the detection of renal artery stenosis . J Gen Intern Med. 1988;;3:344-350.
8 +
Lee TH,Fukui TG,Weinstein MC,TostesonANA,Goldman L.  Cost-effectiveness of screening strategies for left main coronary disease in patients with stable angina . Med Decis Making. 1988;;8:268-278.
9 +
Joseph AM, Crowson TW, Rich EC.  Cost-effectiveness of Hemoquant versus Hemoccult for colorectal cancer screening . J Gen Intern Med. 1988;;3:132-138.
10 +
Eisenberg JM, Koffer H, Glick HA, et al.  What is the cost of nephrotoxicity associated with aminoglycosides? Ann Intern Med. 1987;;107:900-909.
11 +
Williams SV, Eisenberg JM.  A controlled trial to decrease the unnecessary use of diagnostic tests . J Gen Intern Med. 1986;;1:8-14.
12 +
Winslow CM, Solomon DH, Chassin MR, Kosecoff J, Merrick NJ, Brook RH.  The appropriateness of carotid endarterectomy . N Engl J Med. 1988;;318:721-727.
13 +
Wennberg JE, Mulley AG Jr, Hanley D, et al.  An assessment of prostatectomy for benign urinary tract obstruction: geographic variations and the evaluation of medical care outcomes . JAMA . 1988;;259:3027-3030.
14 +
Dubois RW, Brook RH.  Preventable deaths: who, how often, and why? Ann Intern Med. 1988;;109:582-589.

Letters

Submit a Letter
CME Course for:


You need to register in order to view this quiz.


To understand the clinical management of acute heart failure syndromes.
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.
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:
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.
To view and print your certificate and access a summary of your CME courses go to My CME.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s “Cited By” API will populate this tab (http://www.crossref.org/citedby.html).
Compression-Only CPR: Pushing the Science Forward
Cone
AAM 2010;304:1493-1495.
All you need to read in the other general journals
BMJ 2010;341:c5893-c1494.
Submit a Response

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

Related Content

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

© 2012 American Medical Association. All Rights Reserved.
Powered bySilverchair Information Systems