PEDIATRICS Vol. 59 No. 1 January 1977, pp. 142
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The Hidden Cost Dilemma

David Sparling M.D.1

1 Pediatric Associates Lakewood, 6343 Motor Avenue SW, Tacoma, Washington 98499

The commentary by Steigman amid Kendig1 on frequency of tuberculin testing, found in the August 1975 issue, presents a basic dilemma common to all preventive health procedures incorporated into office pediatrics. The cost of tuberculin testing is not in the material, but in the personnel time to administer and explain. If the patient is to return to the office for measurement and documentation, there are additional requirements of personnel time and office space.

In our own office, where around 2,500 tuberculin tests are done each year, we have continued tuberculin testing at each annual health examination.