Rationing breast reduction surgery

BMJ 1997; 314 doi: https://doi.org/10.1136/bmj.314.7086.1045 (Published 05 April 1997) Cite this as: BMJ 1997;314:1045
  1. N Horlock, Research fellow in plastic surgerya,
  2. R P Cole, Consultant plastic surgeonb,
  3. L F A R Rossi, Consultant plastic surgeonb
  1. a Raft Institute for Plastic Surgery, Mount Vernon Hospital, Northwood, Middlesex HA6 2JR
  2. b Odstock Centre for Burns, Plastic and Maxillofacial Surgery, Salisbury District Hospital, Salisbury, Wiltshire SP2 8BJ

    Editor—We are concerned with restricted access policies for breast reduction by health commissions described by Margaret Somerville.1 Certain health commissions request referral to other specialties before funding a plastic surgery consultation. We studied the rationale of patient selection by this method by examining the symptoms of patients whose outcome was determined by the health commission.

    Between February 1995 and January 1996, 58 patients from three health commissions with restricted access policies were referred by their general practitioners to Salisbury District Hospital for breast reduction. A …

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