Evidence map›Paper›PMID 7728688›Full record

ArticleCMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne1995

Defining basic services and de-insuring the rest: the wrong diagnosis and the wrong prescription.

M M Rachlis

Abstract read
In one paragraph

Article in CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 1995. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

1 author.

M M RachlisDepartment of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ont.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The Canada Health Act of 1984 requires the provinces to cover all "medically necessary" services in order to be eligible for full federal contributions. However, neither the federal government nor any province has operationally defined the term "medically necessary service." As a result, coverage of certain medical services across the country is uneven. There is even greater variation in the coverage of nonmedical services (such as drugs and home care) that are not included in federal legislation. Recently, several provincial medical associations, with their respective provincial governments, have agreed to define and cover basic services and to de-insure services not found to be "medically necessary." The author argues that this process makes the wrong diagnosis of the cause of the woes of our health care system and then issues the wrong prescription. It also distracts decision makers from more worthwhile policies to reform the health care system.

Indexed as

CanadaHealth Care ReformHealth PolicyHome Care ServicesInsurance, HealthNational Health ProgramsPharmaceutical PreparationsPharmaceutical Preparations

Identifiers

PMID7728688
PMCPMC1337903

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.