PEDIATRICS Vol. 93 No. 4 April 1994, pp. 621
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COST-EFFICIENCY MODEL

J. F. L. MD

In an interview, Dr. Thier said he hopes to turn Massachusetts General into another kind of model: one that increases cost-efficiency without compromising basic research or patient care.

"A way of life is changing," Dr. Thier asserted. Academic medical centers are being forced to rein in costs quickly, he contended, because of growing price- pressure from insurers, as well as the movement in Washington to enact healthcare legislation.

Top teaching hospitals haven't conducted much cost-oriented research involving patients. Instead, the hospitals have concentrated on discovering fundamental medical techniques, often working at the molecular level. Research on treatment costs and effectiveness has been carried out mostly by schools of public health and by such think tanks as Rand Corp...

Other big teaching hospitals are starting research on treatment costs and effectiveness, said George Lundberg, editor of the Journal of the American Medical Association. "I expect such research to flourish with the pressures of health-system reform," he said.

"Now that it's so much in the best interests of the largest health-delivery groups to discover the best ways to deliver maximum services for minimum cost," Dr. Lundberg added, "it's not at all surprising that such institutions will enter health-services research in a big way."