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Evidence From a Practice Study

Matthew Menken, MD

Arch Neurol. 1985;42(4):386-387.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

In recent years, there has been a large and rapid increase in the number of practicing neurologists in the United States. This information alone, however, says little about whether this change has had beneficial or deleterious effects on the quality and cost-effectiveness of neurologic care for the majority of patients. Before one can determine the optimum number of specialists in a population to be served, one must first specify what role such physicians will fill, along with other groups of generalists and specialists, in the provision of medical care.

Hence the general question: What is the scope of neurologic practice and care? In attempting to answer this question, I would suggest that one needs to separate dogma from evidence. What we would like practicing neurologists to do may be different from what is actually done. Even a physician's self-perception of professional activity may differ in important ways from measured data. . . . [Full Text PDF of this Article]

Author Affiliations
From the Department of Neurology, University of Medicine and Dentistry of New Jersey, Rutgers Medical School, Piscataway.

Footnotes
Accepted for publication Sept 21, 1984.

Reprint requests to 1527 Hwy 27, Suite 1500, Somerset, NJ 08873 (Dr Menken).

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