Medicine And Books

Medicine Worth Paying For: Assessing Medical Innovations

BMJ 1996; 312 doi: (Published 27 January 1996) Cite this as: BMJ 1996;312:259
  1. Trevor A Sheldon

    Ed Howard S Frazier, Frederick Mosteller Harvard University Press, pounds sterling25, pp 311 ISBN 0 674 56362 X

    Health services around the world are being reformed with the aim of improving efficiency. In the NHS huge resources have been invested in new initiatives to change the delivery of care, cut costs, and make the service more “patient centred.” Ultimately, though, these are meaningless if the care being delivered is of little benefit. Relatively scant attention is given to this question by health service managers compared with (say) manipulating waiting times, episode numbers, efficiency index performance, and contracting for the status quo. …

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