[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 54.147.196.37. Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Article
April 5, 1985

Ordering Tests in the United States and England-Reply

Author Affiliations

Institute for Health Research Harvard University Boston

JAMA. 1985;253(13):1875. doi:10.1001/jama.1985.03350370055008

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

Abstract

In Reply.—  We agree with Dr Milligan that a comparison of British general practitioners with American general practitioners might have shown somewhat different results. As we stressed in our discussion, the British and American medical system are not directly comparable. In England, all primary care is provided by general practitioners; whereas in the United States, primary care is provided by internists, family practitioners, general practitioners, and physicians with other sorts of training. No single group of American physicians is a perfect match for British general practitioners. We do stress that the American and British patients we studied were very similar. Moreover, the level of test ordering should, ideally, be determined by the patient's disorder and not by what kind of doctor the patient consults. Chronic hypertension is the same disease no matter who the physician is or what his or her training. The difference we found in testing patterns applies

×