J. SANFORD SCHWARTZ, M.D.; JOHN R. BALL, M.D., J.D.; ROBERT H. MOSER, M.D.
SCHWARTZ JS, BALL JR, MOSER RH. Safety, Efficacy, and Effectiveness of Clinical Practices: A New Initiative. Ann Intern Med. 1982;96:246-247. doi: 10.7326/0003-4819-96-2-246
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Published: Ann Intern Med. 1982;96(2):246-247.
A new vaccine is developed to prevent a form of pneumonia. How does a physician determine whether to vaccinate a particular patient? How does an insurer decide whether to reimburse for such a service? Questions regarding the appropriate use of diagnostic procedures and therapeutic interventions are becoming increasingly common and increasingly important. Medicine is in the midst of a technologic explosion. Tests, procedures, and interventions are being developed and introduced into clinical practice in unprecedented numbers. Such rapid growth complicates the physician's task of determining the clinical usefulness of specific interventions for individual patients. Policymakers must make parallel decisions from
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