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The need for adequate assessment of health care technology before accepting it as the standard of care has emerged recently as a primary goal of health services research.1 Many medical techniques nevertheless lack a scientific foundation and do not undergo the same rigorous testing as...
—To compare the efficacy and safety of episodic patient-initiated oral famciclovir with placebo in recurrent genital herpes.
—Randomized, double-blind, frequent-observation, dose-ranging study comparing...
Mrs R is an 85-year-old widowed retired municipal worker who is the mother of 2 sons, one of whom is unmarried and lives with her in an urban community near Boston, Mass. Born in Italy, Mrs R came to the United States as a teenager and worked until...
To the Editor.
—I was pleased to see the article on biotherapeutic agents by Dr Elmer and colleagues.1 The traditional response to microbial attack on a body system is to use antibiotics, but is this option exclusive or even optimal? The advent of antibiotics has...
To the Editor.
—Dr Newcomb and colleagues1 observed a weakly positive association between abortion and risk of breast cancer. The increase in risk of breast cancer was not significantly different if the abortion was induced or spontaneous.
An allele of the...
FOR AT LEAST 2 decades, the ubiquitous fingernail and toenail fungal disease onychomycosis has frustrated and discouraged physicians and patients because of a lack of effective treatment.
During this same period, fungal nail disease has been on the rise, particularly among older...
—Dr Wynia's articulate and cogent response reflects his passion for American health care policy. A public argument about whether reducing the inflationary growth of Medicare spending reflects a "cut" or a "reduced rate of growth" is an unfortunate sidetracking of the...
ASSURING THE QUALITY of managed care plans as they become increasingly prominent in the provision of health care means mounting pressure on measuring their performance. The demand comes from potential plan purchasers, consumers, and purveyors of the plans themselves.
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