0

The full content of Annals is available to subscribers

Subscribe/Learn More  >
Editorials |

The Problem of the Inappropriate Endoscopy

John F. Morrissey, MD
[+] Article and Author Information

University of Wisconsin Medical School
Madison, Wisconsin


Ann Intern Med. 1988;109(8):605-606. doi:10.7326/0003-4819-109-8-605
Text Size: A A A
This excerpt has been provided in the absence of an abstract.

The rapid escalation of the cost of medical care in the face of limited resources has led insurance carriers, including Medicare, to look hard at high-cost medical procedures such as gastrointestinal endoscopy. Medicare intermediaries have been encouraged to deny payment to physicians for nonindicated procedures. The data available from the medical literature are of limited help in evaluating the appropriateness of procedures. Controlled trials have not been done for most indications. The guidelines of the American Society for Gastrointestinal Endoscopy (1) are excellent, but in each guideline, there is a caution that under exceptional circumstances, procedures may be considered appropriate,

...

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Letters

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Comments

Submit a Comment
Submit a Comment

Summary for Patients

Clinical Slide Sets

Terms of Use

The In the Clinic® slide sets are owned and copyrighted by the American College of Physicians (ACP). All text, graphics, trademarks, and other intellectual property incorporated into the slide sets remain the sole and exclusive property of the ACP. The slide sets may be used only by the person who downloads or purchases them and only for the purpose of presenting them during not-for-profit educational activities. Users may incorporate the entire slide set or selected individual slides into their own teaching presentations but may not alter the content of the slides in any way or remove the ACP copyright notice. Users may make print copies for use as hand-outs for the audience the user is personally addressing but may not otherwise reproduce or distribute the slides by any means or media, including but not limited to sending them as e-mail attachments, posting them on Internet or Intranet sites, publishing them in meeting proceedings, or making them available for sale or distribution in any unauthorized form, without the express written permission of the ACP. Unauthorized use of the In the Clinic slide sets will constitute copyright infringement.

Toolkit

Buy Now

to gain full access to the content and tools.

Want to Subscribe?

Learn more about subscription options

Advertisement
Forgot your password?
Enter your username and email address. We'll send you a reminder to the email address on record.
(Required)
(Required)