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May 1, 1987

Cardiac Disease: A Logical Approach Considering DRGs

Author Affiliations

John Hancock Mutual Life Insurance Co Boston University School of Medicine

John Hancock Mutual Life Insurance Co Boston University School of Medicine


by Victor F. Froelicher and J. Edwin Atwood, 186 pp, with illus, $19.95, Chicago, Year Book Medical Publishers Inc, 1986.

JAMA. 1987;257(17):2364. doi:10.1001/jama.1987.03390170120046

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.


Cost-containment issues are among the hottest topics in medical circles these days. Simply including the abbreviation "DRG" (diagnosis related groups) catches the eye and generates instant interest and, hopefully, sales.

Two of my associates, when glancing at the cover of this book, had the same reflex reaction: "a quick reference on how to beat the system"! Fortunately, nothing could be further from the truth, for this is not a "How to..." manual. Actually, this publication represents probably the shortest, most concise textbook on cardiac diseases written, with particular emphasis on appropriateness and honesty.

The authors realized very well that, despite wide criticism, the era of DRGs as a form of cost control is upon us and that it would be beneficial to the cardiologist to understand the major rules of the system and learn how to cooperate with it. The authors, both highly experienced clinicians, discuss basic diagnostic and therapeutic