Consultation Between Cardiologists and Generalists in the Management of Acute Myocardial Infarction

Abstract
THE RAPID expansion of managed care in the United States has increased public and scientific debate regarding the appropriate mix of generalist and specialist involvement in medical care. Previous research suggests that cardiologists have better knowledge than generalists concerning efficacious therapies in the treatment of acute myocardial infarction (AMI).1 However, previous studies2 also suggest that there is little relationship between knowledge or self-reported practice and actual behavior. Despite intense controversy, few studies3 exist comparing the care provided to comparable patients by generalists and specialists.