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April 3, 2002

The Costs of Making Practice More Cost-effective

Author Affiliations

Stephen J.LurieMD, PhD, Senior EditorIndividualAuthor

JAMA. 2002;287(13):1648-1650. doi:10.1001/jama.287.13.1645

To the Editor: Dr Mason and colleagues1 need look no further than the high cost of antepartum fetal surveillance to find an example of "suboptimal" health care. Despite costly, intensive monitoring of pregnancies at risk for stillbirth, up to one half of all fetal deaths have no identifiable risk factors.2 Furthermore, although several inexpensive methods to predict stillbirth have been known for several years, they have yet to receive widespread adoption by physicians.

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