Priorities in Medicine BRASH city and even from hospital to hospital in the frequency with which certain routine operations are performed, in the mortality from standard surgical procedures, and in the duration of stay in hospital of patients with similar diseases ? Do long-stay patients with hernias or varicose veins really fare better or worse than short-stay or outpatient cases respectively, or do the more economical methods of treatment demand differently trained surgeons ? Does the patient with cardiac infarction do better under the continuous monitoring of the specialist hospital unit or in bed at home with simple nursing care ? At what point does population screening cease to pay dividends and become counter-productive ?
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Donald S. Kornfeld (1969) studied this question.
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