TY - JOUR
T1 - Health, medicine, and ophthalmology
T2 - Facing the facts and paying the piper LVI Edward Jackson memorial lecture
AU - Sommer, Alfred
PY - 1999/12
Y1 - 1999/12
N2 - PURPOSE: To describe the sources of tension within the health care system and methods for pursuing their solution. METHODS: Presentation of observations pertinent to patient, provider, and payer perspectives relevant to the cost, delivery, and quality of care and their impact on health. RESULTS: Societal forces, not just wealth, are major determinants of both health and the costs of health care. CONCLUSIONS: Tensions created by rising health care costs in the face of finite societal resources will increase in the years ahead. These can be resolved only by realizing new efficiencies in care, and prioritizing, through an explicit process, the care that is to be provided.
AB - PURPOSE: To describe the sources of tension within the health care system and methods for pursuing their solution. METHODS: Presentation of observations pertinent to patient, provider, and payer perspectives relevant to the cost, delivery, and quality of care and their impact on health. RESULTS: Societal forces, not just wealth, are major determinants of both health and the costs of health care. CONCLUSIONS: Tensions created by rising health care costs in the face of finite societal resources will increase in the years ahead. These can be resolved only by realizing new efficiencies in care, and prioritizing, through an explicit process, the care that is to be provided.
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U2 - 10.1016/S0002-9394(99)00312-8
DO - 10.1016/S0002-9394(99)00312-8
M3 - Article
C2 - 10612501
AN - SCOPUS:0033431878
SN - 0002-9394
VL - 128
SP - 673
EP - 679
JO - American journal of ophthalmology
JF - American journal of ophthalmology
IS - 6
ER -