This Article  • References  • Full text PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (3)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

James F. Toole, MD

Arch Neurol. 1997;54(1):23-24.

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

AS HEALTH CARE administrators attempt to control escalating costs, their buzzwords have become cost-effective and evidence based—rallying cries that even physicians (also called gatekeepers) have taken up. As a group, we physicians have been made to believe that reducing costs while gathering evidence to prove effectiveness of therapy is the physician's responsibility. As a consequence, scant attention is being paid to maintaining our traditional purpose, which has always been to provide the best care possible for one patient at a time. However, an increasing number of physicians, and more recently patients as well, have become convinced that emphasis on new goals will result in deterioration of the latter unless physicians staunchly defend quality-based patient care.

See also page 25

A case in point is the continuing criticism^1,2 of the outcome of the Asymptomatic Carotid Atherosclerosis Study (ACAS).³ Our 39-center, US- and Canadian-based, prospective, randomized, clinical trial adhered . . . [Full Text PDF of this Article]

Author Affiliations
Winston-Salem, NC

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?