A Decade of Surgery in Canada, England and Wales, and the United States

Vayda, Eugene; Mindell, William R.; Rutkow, Ira M.

doi:10.1001/archsurg.1982.01380300086019

Cited by 42 publications

(5 citation statements)

References 19 publications

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“…One study employing this laboratory is that of Vayda et al (1982), published in the Archives of Surgery. Age-and sexstandardized rates of all operations per 100,000 population in the United States were 12 percent higher than those in Canada in 1966 (before all of Canada was under national health insurance) and 43 percent higher in 1976.…”

Section: John Bunkers Classic Paper (1970) Demonstrated That the Unitmentioning

confidence: 99%

Payment Mechanisms under a National Health Program

Bodenheimer

1989

Medical Care Review

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future time to extend the number of countries studied to determine if the conclusions reached here can be confirmed.The article begins with a discussion of who should pay hospitals and doctors and a subsequent exploration of the various modes of payment-first for hospitals, then for physicians. Thereafter, the article proceeds to brief examinations of two specific topics, patient cost sharing and closed-panel (HMO) enrollment. The conclusion proposes specific policies for paying hospitals and doctors under an American national health program.

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Section: John Bunkers Classic Paper (1970) Demonstrated That the Unitmentioning

confidence: 99%

Payment Mechanisms under a National Health Program

Bodenheimer

1989

Medical Care Review

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“…The investigators concluded: "the amount and cost of hospital treatment in a community have more to do with the number of physicians there, their medical specialties and the procedures they prefer than with the health of the residents." By now, many people are familiar with the remarkable parallel between the number of surgeons in relation to population and the rates for operative procedures across countries; both figures are about twice as high for the U.S. as for the U.K., with Canada about halfway between the two (12). That, however, does not tell us whether the U.S. is oversupplied, the U.K. undersupplied, or Canada about right.…”

Section: Variations In Medical Practicesmentioning

confidence: 99%

Barriers to Care

Eisenberg

1984

Can J Psychiatry

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In elevating cost containment to a first principle, the current political debate about health policy in the U.S. and Canada has lost sight of what should be its primary concern: the health status of the population. The two need not be incompatible. Many current medical procedures are of uncertain value for health and entail sizable costs. The application of the knowledge obtained through randomized clinical trials to the practice of medicine can improve public health and at the same time save money for needed health purposes. Technology has come to dominate medical vision and has created conceptual barriers to responsive medical care. Doctors must attend to the illness experience of the patient as well as disease in organs and tissues. The limits of the biomedical model in psychiatry are illustrated by means of a hypothetical instrument: the PET/NMR cephaloscope. Clinical experience in psychiatry makes it abundantly clear that family and cultural environment are decisive determinants of functional status, even in disease conditions with a major organic component.

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“…[1][2][3] In the USA, intervention rates are double those in the UK. 4 Nonetheless, it has been suggested that coronary revascularisation rates may be insufficient in some areas of the USA. 5 6 Under provision of revascularisation in some areas may be responsible for preventable morbidity and mortality, 7 and inequalities in health.…”

mentioning

confidence: 99%