Rudy Fernandes, BSc (Hon)
The Editors welcome submissions for possible publication in the Letters section. Authors of letters should:
•Include no more than 300 words of text, three authors, and five references
•Type with double-spacing
•Send three copies of the letter, an authors' form signed by all authors, and a cover letter describing any conflicts of interest related to the contents of the letter.
Letters commenting on an Annals article will be considered if they are received within 6 weeks of the time the article was published. Only some of the letters received can be published. Published letters are edited and may be shortened; tables and figures are included only selectively. Authors will be notified that the letter has been received. If the letter is selected for publication, the author will be notified about 3 weeks before the publication date. Unpublished letters cannot be returned.
Annals welcomes electronically submitted letters.
Fernandes R. Implications of Regional Differences in Spending. Ann Intern Med. 2004;140:146-147. doi: 10.7326/0003-4819-140-2-200401200-00021
Download citation file:
Published: Ann Intern Med. 2004;140(2):146-147.
TO THE EDITOR:
The recent articles by Fisher and colleagues (1, 2) highlighting the implications of regional variations in Medicare spending have added to our understanding of the importance of effective medical spending. The authors should be applauded for challenging the general assumption that additional spending on health services will necessarily provide important health benefits.
It is interesting to note that these findings seem to complement a Canadian study by Zelder (3), which found that regions with higher overall government health spending per capita had no effect on reducing patient waiting times. However, the Zelder study did note that the only direct correlation between increased funds and reduced waiting times comes from money spent to subsidize drugs, leading to fewer hospital visits and less congested waiting rooms. In addition, Michaud and colleagues (4) acknowledged that a challenge to the future of medicine is to allocate resources effectively to reduce the major causes of disease burden globally.
Learn more about subscription options.
Register Now for a free account.
Copyright © 2016 American College of Physicians. All Rights Reserved.
Print ISSN: 0003-4819 | Online ISSN: 1539-3704
Conditions of Use
This PDF is available to Subscribers Only