S G Fullerton

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The existence of pronounced differences in health outcomes between US populations is a problem of moral significance and public health urgency. Pursuing research on genetic contributors to such disparities, despite striking data on the fundamental role of social factors, has been controversial. Still, advances in genomic science are providing an(More)
  • S Fullerton
  • 1998
OBJECTIVE The objective of this study is to quantify the future worldwide economic impact of functional gastrointestinal disease and to describe international differences that might exist between major industrialized countries. DESIGN This study employs an econometric projection using data from the only known survey of national economic impact of(More)
The delivery of healthcare in the industrialized world is currently undergoing fundamental change due to a number of factors. These include market forces driving institutions to contain and reduce cost; the rapid emergence of new treatments; the recognition of unexplained regional variations in the delivery of care; and patients' increasing sophistication(More)
Managed care has emerged out o pressures to reduce the high cost of healthcare and has brought about unprecedented change and uncertainty for the specialist. To flourish in a managed care environment the subspecialist will need to rely on strategic planning. Four emerging approached to healthcare lend themselves to strategic planning. They are 1)(More)
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