[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address Please contact the publisher to request reinstatement.
[Skip to Content Landing]
September 22, 1989

Socioeconomics of Surgery

Author Affiliations

William Beaumont Hospital El Paso, Tex

William Beaumont Hospital El Paso, Tex

JAMA. 1989;262(12):1700. doi:10.1001/jama.1989.03430120154041

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


The messages of Ira Rutkow's Socioeconomics of Surgery are these: (1) that surgical care is the easiest specialty to regulate because operations are well-defined events and costs with fairly obvious consequences; (2) that data for regulation of surgical care are being gathered by a host of nonsurgical scientists, some of whom are not physicians; (3) that it is unfortunate that more surgeons are not involved in or even conversant with studies designed to gather such data; and (4) that they had better get involved in order to prevent unreasonable regulation of surgeons and unfair consequences for patients. He's right!

The book, which is intended to be a compendium of information relative to surgical socioeconomic matters, has five sections: (1) surgical demographics, (2) delivery and financing of surgical services, (3) quality of surgical care, (4) legal and ethical issues in surgery, and (5) a summary, which gives Dr Rutkow's personal perspective