Quality and the Medical Marketplace
To the Editor: The editorial by Drs. Angell and Kassirer (Sept. 19 issue) 1 is cute but fails to answer the question, Where did all those elephants — whose excreta is unmanageable — come from? At a time of hand wringing in medicine, we seem to be blind to the source of the problem. We have fought fo...
Gespeichert in:
Veröffentlicht in: | The New England journal of medicine 1997-03, Vol.336 (11), p.807-809 |
---|---|
1. Verfasser: | |
Format: | Artikel |
Sprache: | eng |
Schlagworte: | |
Online-Zugang: | Volltext |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
container_end_page | 809 |
---|---|
container_issue | 11 |
container_start_page | 807 |
container_title | The New England journal of medicine |
container_volume | 336 |
creator | Lewis, C E |
description | To the Editor:
The editorial by Drs. Angell and Kassirer (Sept. 19 issue)
1
is cute but fails to answer the question, Where did all those elephants — whose excreta is unmanageable — come from? At a time of hand wringing in medicine, we seem to be blind to the source of the problem. We have fought for more and more investment in basic research and won. We have also refused to reduce our training mills, especially for postgraduate education. As the fruits of these investments flow into the medical marketplace, a diarrhea of elephantine proportions, we should remember who provided . . . |
doi_str_mv | 10.1056/NEJM199703133361114 |
format | Article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_78860907</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>78860907</sourcerecordid><originalsourceid>FETCH-LOGICAL-c357t-13c8961145a84d6ac1c81cc498bc0fb936da24c9f80da55ce4f76e913a52a57f3</originalsourceid><addsrcrecordid>eNqNkMtKw0AUhgdRaq0-gQgBwY1E5_TMdSml3mgUQdfD6WSCqUlbM8mib2-kxZWIZ_Mv_guHj7FT4FfApbp-mj5mYK3mCIioAEDssSFIxFQIrvbZkPOxSYW2eMiOYlzw_kDYARtYroQEHLLzl46qst0ktMyT9j0kWchLT1WSUfMR2nVFPhyzg4KqGE52OmJvt9PXyX06e757mNzMUo9StymgN7b_QkgyIlfkwRvwXlgz97yYW1Q5jYW3heE5SemDKLQKFpDkmKQucMQutrvrZvXZhdi6uow-VBUtw6qLThujuOX6P0FpVc9kxHAb9M0qxiYUbt2UNTUbB9x9M3S_MOxbZ7v5bl6H_Kezg9b7l1u_rqNbhkX959oXVVZ2OA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>78859633</pqid></control><display><type>article</type><title>Quality and the Medical Marketplace</title><source>MEDLINE</source><source>New England Journal of Medicine Current</source><source>EZB-FREE-00999 freely available EZB journals</source><source>ProQuest Central UK/Ireland</source><creator>Lewis, C E</creator><creatorcontrib>Lewis, C E</creatorcontrib><description>To the Editor:
The editorial by Drs. Angell and Kassirer (Sept. 19 issue)
1
is cute but fails to answer the question, Where did all those elephants — whose excreta is unmanageable — come from? At a time of hand wringing in medicine, we seem to be blind to the source of the problem. We have fought for more and more investment in basic research and won. We have also refused to reduce our training mills, especially for postgraduate education. As the fruits of these investments flow into the medical marketplace, a diarrhea of elephantine proportions, we should remember who provided . . .</description><identifier>ISSN: 0028-4793</identifier><identifier>EISSN: 1533-4406</identifier><identifier>DOI: 10.1056/NEJM199703133361114</identifier><identifier>PMID: 9064513</identifier><language>eng</language><publisher>United States: Massachusetts Medical Society</publisher><subject>Health Care Costs ; Managed Care Programs ; Physicians - supply & distribution ; United States</subject><ispartof>The New England journal of medicine, 1997-03, Vol.336 (11), p.807-809</ispartof><rights>Copyright © 1997 Massachusetts Medical Society. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c357t-13c8961145a84d6ac1c81cc498bc0fb936da24c9f80da55ce4f76e913a52a57f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.nejm.org/doi/pdf/10.1056/NEJM199703133361114$$EPDF$$P50$$Gmms$$H</linktopdf><linktohtml>$$Uhttps://www.nejm.org/doi/full/10.1056/NEJM199703133361114$$EHTML$$P50$$Gmms$$H</linktohtml><link.rule.ids>314,777,781,2746,2747,26084,27905,27906,52363,54045,64366</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9064513$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lewis, C E</creatorcontrib><title>Quality and the Medical Marketplace</title><title>The New England journal of medicine</title><addtitle>N Engl J Med</addtitle><description>To the Editor:
The editorial by Drs. Angell and Kassirer (Sept. 19 issue)
1
is cute but fails to answer the question, Where did all those elephants — whose excreta is unmanageable — come from? At a time of hand wringing in medicine, we seem to be blind to the source of the problem. We have fought for more and more investment in basic research and won. We have also refused to reduce our training mills, especially for postgraduate education. As the fruits of these investments flow into the medical marketplace, a diarrhea of elephantine proportions, we should remember who provided . . .</description><subject>Health Care Costs</subject><subject>Managed Care Programs</subject><subject>Physicians - supply & distribution</subject><subject>United States</subject><issn>0028-4793</issn><issn>1533-4406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1997</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkMtKw0AUhgdRaq0-gQgBwY1E5_TMdSml3mgUQdfD6WSCqUlbM8mib2-kxZWIZ_Mv_guHj7FT4FfApbp-mj5mYK3mCIioAEDssSFIxFQIrvbZkPOxSYW2eMiOYlzw_kDYARtYroQEHLLzl46qst0ktMyT9j0kWchLT1WSUfMR2nVFPhyzg4KqGE52OmJvt9PXyX06e757mNzMUo9StymgN7b_QkgyIlfkwRvwXlgz97yYW1Q5jYW3heE5SemDKLQKFpDkmKQucMQutrvrZvXZhdi6uow-VBUtw6qLThujuOX6P0FpVc9kxHAb9M0qxiYUbt2UNTUbB9x9M3S_MOxbZ7v5bl6H_Kezg9b7l1u_rqNbhkX959oXVVZ2OA</recordid><startdate>19970313</startdate><enddate>19970313</enddate><creator>Lewis, C E</creator><general>Massachusetts Medical Society</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19970313</creationdate><title>Quality and the Medical Marketplace</title><author>Lewis, C E</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c357t-13c8961145a84d6ac1c81cc498bc0fb936da24c9f80da55ce4f76e913a52a57f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1997</creationdate><topic>Health Care Costs</topic><topic>Managed Care Programs</topic><topic>Physicians - supply & distribution</topic><topic>United States</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lewis, C E</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The New England journal of medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lewis, C E</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Quality and the Medical Marketplace</atitle><jtitle>The New England journal of medicine</jtitle><addtitle>N Engl J Med</addtitle><date>1997-03-13</date><risdate>1997</risdate><volume>336</volume><issue>11</issue><spage>807</spage><epage>809</epage><pages>807-809</pages><issn>0028-4793</issn><eissn>1533-4406</eissn><abstract>To the Editor:
The editorial by Drs. Angell and Kassirer (Sept. 19 issue)
1
is cute but fails to answer the question, Where did all those elephants — whose excreta is unmanageable — come from? At a time of hand wringing in medicine, we seem to be blind to the source of the problem. We have fought for more and more investment in basic research and won. We have also refused to reduce our training mills, especially for postgraduate education. As the fruits of these investments flow into the medical marketplace, a diarrhea of elephantine proportions, we should remember who provided . . .</abstract><cop>United States</cop><pub>Massachusetts Medical Society</pub><pmid>9064513</pmid><doi>10.1056/NEJM199703133361114</doi><tpages>3</tpages></addata></record> |
fulltext | fulltext |
identifier | ISSN: 0028-4793 |
ispartof | The New England journal of medicine, 1997-03, Vol.336 (11), p.807-809 |
issn | 0028-4793 1533-4406 |
language | eng |
recordid | cdi_proquest_miscellaneous_78860907 |
source | MEDLINE; New England Journal of Medicine Current; EZB-FREE-00999 freely available EZB journals; ProQuest Central UK/Ireland |
subjects | Health Care Costs Managed Care Programs Physicians - supply & distribution United States |
title | Quality and the Medical Marketplace |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-17T13%3A33%3A00IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Quality%20and%20the%20Medical%20Marketplace&rft.jtitle=The%20New%20England%20journal%20of%20medicine&rft.au=Lewis,%20C%20E&rft.date=1997-03-13&rft.volume=336&rft.issue=11&rft.spage=807&rft.epage=809&rft.pages=807-809&rft.issn=0028-4793&rft.eissn=1533-4406&rft_id=info:doi/10.1056/NEJM199703133361114&rft_dat=%3Cproquest_cross%3E78860907%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=78859633&rft_id=info:pmid/9064513&rfr_iscdi=true |