Eric S. Lichtenstein, m.d.
To the editor: In his article, "Medical Intensive Care in the Teaching Hospital: Costs Versus Benefits" (April 1973 issue, pp. 581-585), Dr. Griner neatly describes the dilemma of intensive care. It is characterized by the economic necessity for cost-effectiveness judgments counter to all altruistic and professional impulses. There can be little argument as to the obvious necessities for intensive or critical care facilities in high-quality, comprehensive teaching and research programs. In evaluating the expense-benefit ratio of patient care, Dr. Griner unfortunately considers only the necessity of establishing, by statistical and value judgments, an approach-avoidance position between cost and adequacy of
Lichtenstein ES. Intensive Care. Ann Intern Med. ;79:280–281. doi: 10.7326/0003-4819-79-2-280
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Published: Ann Intern Med. 1973;79(2):280-281.
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