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The Journal of Bone and Joint Surgery 80:311-2 (1998)
© 1998 The Journal of Bone and Joint Surgery, Inc.

Editorial

Editorial - The Principle of Utility in Cost-Based Contemporary Medical Care

Peter G. Bullough, M.D. and Howard D. Dorfman, M.D.

Reimbursement for medical procedures began to diminish in the 1980s with the introduction of a prospective-payment system that was based on diagnosis-related groups. The problem has escalated with increasing administrative costs and the advent of managed care. An important, and much discussed, result has been the curtailment of funding for education and research. In an environment in which cost-cutting has become a paramount goal, it was also inevitable that many laboratory and clinical procedures that we have taken for granted during most of our professional lives would be called into question.

The study by Raab et al.4, "The Utility of Histological Examination of Tissue Removed during Elective Joint Replacement. A Preliminary Assessment," . . . [Full Text of this Article]


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