Peebles R J
Bull Am Coll Surg. 1991 Jun;76(6):18-25.
For nearly 20 years, second surgical opinion programs have been promoted as a means of containing health care costs. Since their introduction, debate has continued over their cost-effectiveness. This article provides a historical perspective of second surgical opinion programs, with a particular emphasis on the federal government's past and current involvement in these programs. Also included are a summary of recent reports on employers' and insurers' involvement in these programs and the College's views on second surgical opinion programs.
近20年来，二次手术意见项目一直被作为控制医疗保健成本的一种手段加以推广。自其引入以来，关于其成本效益的争论就一直持续。本文提供了二次手术意见项目的历史视角，特别强调了联邦政府过去和当前在这些项目中的参与情况。还包括了近期关于雇主和保险公司参与这些项目的报告摘要以及学院对二次手术意见项目的看法。
