OSLER L. PETERSON, M.D., F.A.C.P.
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Stross and colleagues, in this issue, report a carefully planned extension of coronary care units to small community hospitals of rural, sparsely settled northern Michigan. The installation of the units was accompanied by training of medical and nursing personnel and other measures to assure competent performance and management, a frequently neglected detail. These areas and institutions would not have had coronary care units if conventional guidelines had been followed. The reasons were obvious: lack of professional skills, few patients, and uneconomical operation with very high cost per patient-day of intensive care.
This program included one further salutary step. The effectiveness
PETERSON OL. Evaluating Medical Technology. Ann Intern Med. ;85:819–821. doi: 10.7326/0003-4819-85-6-819
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Published: Ann Intern Med. 1976;85(6):819-821.
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