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Related Experiment Videos

Second opinions and cost-effectiveness: the questions continue.

R J Peebles

    Bulletin of the American College of Surgeons
    |June 1, 1991
    PubMed
    Summary
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    Second surgical opinion programs aim to reduce healthcare expenses, but their cost-effectiveness remains debated. This review examines their history, government involvement, and employer/insurer perspectives.

    Area of Science:

    • Health Services Research
    • Healthcare Policy
    • Medical Economics

    Background:

    • Second surgical opinion programs have been advocated for nearly two decades to control healthcare expenditures.
    • The cost-effectiveness of these programs has been a subject of ongoing discussion and research.
    • Understanding the historical context is crucial for evaluating their current role.

    Purpose of the Study:

    • To provide a historical overview of second surgical opinion programs.
    • To analyze the federal government's historical and present engagement with these initiatives.
    • To summarize recent findings on employer and insurer participation and present the College's stance.

    Main Methods:

    • Historical analysis of second surgical opinion programs.

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  • Review of government policies and involvement.
  • Synthesis of recent reports on employer and insurer perspectives.

    • Main Results:

    • The article traces the evolution of second surgical opinion programs.
    • It details the fluctuating involvement of the federal government.
    • Recent data on employer and insurer engagement is presented.

    Conclusions:

    • The long-standing debate on the cost-effectiveness of second surgical opinion programs persists.
    • Federal, employer, and insurer involvement shapes the landscape of these cost-containment strategies.
    • The College's perspective offers a professional viewpoint on the value and implementation of second surgical opinions.