Physician extenders were more cost-effective than usual health care In men with hyperchoBestemlemia

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and Commentary also published in ACP Journal Club. 1996; 12 5:80. on the marginal costs and effectiveness of each step along the treatment algorithm were not reported. Therefore, the study is more valuable in relation to the mode of treatment delivery than for details about the treatment itself. Pharoah and HoUingvrorth concentrate on variations in effectiveness and cost among different treatment groups. The cost data are the least refined part of dieir study and could be improved by direct evidence of changes in resource use and costs after the interventions reported in die 4S and West of Scodand Coronary Prevention Study. This evidence was recently published (3). '. In deciding which patients should be. treated while taking into account total treat-: (Continued on page 223) 222 Economics Evidence-Based Medicine Hovember/Detember 1996 •«•»*+ group.bmj.com on October 16, 2017 Published by http://ebm.bmj.com/ Downloaded from

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تاریخ انتشار 2011