Implications of Regional Differences in Spending
Authors: Barry Kisloff
Journal: Annals of Internal Medicine (2004)

Letters20 January 2004Implications of Regional Differences in SpendingBarry Kisloff, MDBarry Kisloff, MDFrom University of Pittsburgh Medical Center, Pittsburgh, PA 15213.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-140-2-200401200-00019 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:For the past 7 centuries, an enduring underpinning of western society has been a belief in basic science and its applications as a vehicle of human betterment. The studies of Fisher and colleagues (1, 2) directly challenge the notion that bringing cutting edge biomedical research to the bedside yields value. If one were to extrapolate the conclusions of their presentations and apply them to public policy, several initiatives would seem appropriate.1) Train fewer or, even better, no future doctors, since physicians are vehicles of cost.2) In lieu of suggestion number 1, train physicians to a ...References1. Fisher ES, Wennberg DE, Stukel TA, Gottlieb DJ, Lucas FL, Pinder EL. The implications of regional variations in Medicare spending. Part 1: the content, quality, and accessibility of care. Ann Intern Med. 2003;138:273-87. [PMID: 12585825] LinkGoogle Scholar2. Fisher ES, Wennberg DE, Stukel TA, Gottlieb DJ, Lucas FL, Pinder EL. The implications of regional variations in Medicare spending. Part 2: health outcomes and satisfaction with care. Ann Intern Med. 2003;138:288-98. [PMID: 12585826] LinkGoogle Scholar3. Fuchs VR. Health care for the elderly: how much? Who will pay for it? Health Aff (Millwood). 1999;18:11-21. [PMID: 9926642] CrossrefMedlineGoogle Scholar4. Lubitz J, Greenberg LG, Gorina Y, Wartzman L, Gibson D. Three decades of health care use by the elderly, 1965-1998. Health Aff (Millwood). 2001;20:19-32. [PMID: 11260943] CrossrefMedlineGoogle Scholar5. Martin A, Whittle L, Levit K, Won G, Hinman L. Health care spending during 1991-1998: a fifty-state review. Health Aff (Millwood). 2002;21:112-26. [PMID: 12117122] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From University of Pittsburgh Medical Center, Pittsburgh, PA 15213. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoThe Implications of Regional Variations in Medicare Spending. Part 1: The Content, Quality, and Accessibility of Care Elliott S. Fisher , David E. Wennberg , Thrse A. Stukel , Daniel J. Gottlieb , F. L. Lucas , and Étoile L. Pinder The Implications of Regional Variations in Medicare Spending. Part 2: Health Outcomes and Satisfaction with Care Elliott S. Fisher , David E. Wennberg , Thrse A. Stukel , Daniel J. Gottlieb , F. L. Lucas , and Étoile L. Pinder Implications of Regional Differences in Spending Howard A. Levin Implications of Regional Differences in Spending Rudy Fernandes Implications of Regional Differences in Spending George L. Weber Implications of Regional Differences in Spending Hyman Gaylis Implications of Regional Differences in Spending Franklin Gaylis Implications of Regional Differences in Spending Elliott S. Fisher , Dan Gottlieb , and David Wennberg Implications of Regional Differences in Spending Rudolph J. Mueller Metrics 20 January 2004Volume 140, Issue 2Page: 145-146KeywordsAcademic medicineForecastingHealth careHip fracturesMedical educationMedicareMyocardial infarctionPublic policy ePublished: 20 January 2004 Issue Published: 20 January 2004 CopyrightCopyright © 2004 by American College of Physicians. All Rights Reserved.PDF DownloadLoading ...