ABSTRACT

The delivery of medical services is constantly challenged and frequently changed by new discoveries or new ideas. Researchers propose a new drug as an improved cure for a disease. Surgeons promote a new technique that supposedly corrects a physiological problem better than the traditional procedure. Policy analysts push new legislation that will presumably improve quality or increase access without increasing costs. Health benefit managers change the way their plans pay for care with the intent of reducing total costs. Management gurus claim their new technique will improve employee productivity.