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Peter Curtis, MD
The University of North Carolina at Chapel Hill

JAMA. 1985;253(3):344-345.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—

I refer to the article entitled "Is It Good Practice to Treat Patients With Uncomplicated Myocardial Infarction at Home?" in a recent issue of THE JOURNAL.¹ The authors, using valid epidemiologic data, put forward a case for closer scientific scrutiny of the current practice in the United States of admitting all patients into coronary care units even though home care seems to provide equally beneficial outcomes in uncomplicated cases. This argument, laudable though it may be, illustrates some of the inherent difficulties in transposing the relevance of data accumulated in other countries (viz, England and Scandinavia) to this country without identifying some of the medical organization and social factors that significantly affect the data.² I am particularly aware of this problem, having practiced as a family physician both in England and the United States, and would like to illustrate my point as follows.

Home care . . . [Full Text PDF of this Article]

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