PEDIATRICS Vol. 82 No. 2 August 1988, pp. 282
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Physician Reimbursement

GEORGE J. COHEN MD1

1 General Pediatric Ambulatory Center, Children's Hospital, National Medical Center, 111 Michigan Ave NW, Washington, DC 20010

To the Editor.—

In the excellent study of physician reimbursement by Hickson et al (Pediatrics 1987;80:344-350), there seems to be an implication that more health care visits than stated in the American Academy of Pediatrics' guidelines constitute excessive cost and perhaps unnecessary patient-doctor interaction. The suggestion that limiting compensation to just the visits in the guidelines might be a technique of cost control is really self-defeating. The authors have already demonstrated that more well-child visits decrease the number of emergency room visits, which are far more expensive.