Inappropriate Use of Hospitals

Michael J. Fishbein, Arthur Chernoff, Nicholas E. Davies, Albert L. Siu, Frank A. Sonnenberg, Willard G. Manning, George A. Goldberg, Ellyn S. Bloomfield, Joseph P. Newhouse, Robert H. Brook

Research output: Contribution to journalLetterpeer-review

3 Scopus citations


To the Editor: The article by Siu et al. (Nov. 13 issue)* raises some important questions. The first concerns the use of experts and the Appropriateness Evaluation Protocol (AEP) as yardsticks for measuring the appropriateness of a hospital admission. How would the protocol evaluate an elderly patient with normal vital signs, normal laboratory data, and normal x-ray findings who reports vague abdominal and back pain? Could the AEP or an expert reviewing this patient's chart judge better than I whether this patient may or may not have a dissecting abdominal aortic aneurysm? If it turns out that he does not.

Original languageEnglish
Pages (from-to)1215-1216
Number of pages2
JournalNew England Journal of Medicine
Issue number19
StatePublished - 7 May 1987
Externally publishedYes


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