Technology and the Aging: Rationalizing Or Rationing : Hearing Before the Subcommittee on Health and Long-Term Care of the Select Committee on Aging, House of Representatives, Ninety-eighth Congress, Second Session, March 15, 1984United States. Congress. House. Select Committee on Aging. Subcommittee on Health and Long-Term Care U.S. Government Printing Office, 1984 - 191 páginas |
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agency apheresis appendectomy appropriate Association Blue Shield budget Bunker cancer Center for Health Chairman Chalmers cholecystectomy committee CONGRESS THE LIBRARY consortium coronary artery cost effective coverage decisions defensive medicine DESMARAIS diagnostic Director disease doctors drugs entity estimate evaluation example federal Financing Administration funding Government HCFA health care costs Health Care Financing Health Care Technology Health Services Research hospital hysterectomy increase Institute of Medicine issues LIBRARY OF CONGRESS MARSHALL medical practice medical technology assessment Medicare ment million National Center NCHCT NCHSR nology nuclear magnetic resonance OAKAR Office OHTA operation organization outcomes patients payers PEPPER percent Perry physicians private sector professional proposed prospective payment prostatectomy question randomized control trials recommendations REGULA reimbursement Relman staff subcommittee surgeons surgery surgical procedures tech therapy third-party tion tonsillectomy total hip replacement treatment U.S. Congress Washington Wennberg WYDEN
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Página 61 - Notwithstanding any other provision of this title, no payment may be made under part A or part B for any expenses incurred for items or services — (1) which are not reasonable and necessary for -the diagnosis or treatment of illness or injury or to improve the functioning of a malformed body member...
Página 141 - That any sane nation, having observed that you could provide for the supply of bread by giving bakers a pecuniary interest in baking for you, should go on to give a surgeon a pecuniary interest in cutting off your leg, is enough to make one despair of political humanity.
Página 25 - Health, the National Center for Health Statistics, and the National Center for Health Services Research and...
Página 156 - ... mortality of open-heart surgery, vascular surgery, transurethral resection of the prostate, and coronary by-pass decreased with increasing number of operations. Hospitals in which 200 or more of these operations were done annually had death rates, adjusted for case mix, 25 to 41 per cent lower than hospitals with lower volumes. For other procedures, the mortality curve flattened at lower volumes. For example, hospitals doing 50 to 100 total hip replacements attained a mortality rate for this...
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Página 98 - The sense that I have is that there are many situations where resources are sufficiently short so that there must be decisions made as to who is treated. Given that circumstance, the physician, in order to live with himself and to sleep well at night, has to look at the arguments for not treating a patient. And there are always some - social, medical, whatever.
Página 61 - US Department of Health and Human Services. I am pleased to be here today to discuss issues relating to the Medicare and Medicaid programs.
Página 142 - He asked that the medical professional "formulate some method of hospital report showing as nearly as possible what are the results of the treatment obtained at different institutions. This report must be made out and published by each hospital in a uniform manner, so that comparison will be possible. With such a report as this as a starting point those interested can begin to ask questions as to management and efficiency.
Página 70 - Secretary, acting through the National Center for Health Services Research and the National Center for Health Statistics, shall assemble and submit to the...
Página 104 - Professor of Health Services Administration, The Johns Hopkins University, School of Hygiene and Public Health, Baltimore, Maryland JACOB J.