To the Editor.— Analysis of data gathered on the hip fracture population at Spaulding Rehabilitation Hospital, Boston, Mass, contrasts with some of the findings illustrated in the study titled "The Impact of Prospective Payment Systems on the Treatment of Hip Fractures in the Elderly" by Palmer et al.1 Spaulding Rehabilitation Hospital data does suggest that despite Prospective Payment Systems and pressure to reduce lengths of stay, Spaulding was able to achieve "quality outcome." Since the implementation of Prospective Payment Systems, Spaulding, like St Vincent's, has been able to achieve the same, and, in some cases, better results within a shorter hospitalization. By increasing the intensity of the treatment programs and encouraging staff and patients to achieve specific targeted goals, quality outcome can be achieved.
However, the failure of treatments in two studies from Indianapolis by Palmer et al, 1 and Fitzgerald et al2 is alarming and contrasts sharply
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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature
Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal
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