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. 2002 Oct 26;325(7370):961-4.
doi: 10.1136/bmj.325.7370.961.

Unwarranted variations in healthcare delivery: implications for academic medical centres

John E Wennberg  1
Affiliations

Unwarranted variations in healthcare delivery: implications for academic medical centres

John E Wennberg. BMJ. .
No abstract available

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Figures

Figure
Figure
Patients with chronic conditions such as obstructive pulmonary disease experience unwarranted variations in care in different US regions
Figure
Figure
Why are residents of New Haven (above) more than twice as likely to have coronary artery bypass surgery than residents of Boston (below), yet half as likely to undergo carotid artery surgery, when the two populations are well matched demographically?
Figure
Figure
Why are residents of New Haven (above) more than twice as likely to have coronary artery bypass surgery than residents of Boston (below), yet half as likely to undergo carotid artery surgery, when the two populations are well matched demographically?
See this image and copyright information in PMC

Comment in

  • Care for chronic diseases.
    Wagner EH, Groves T. Wagner EH, et al. BMJ. 2002 Oct 26;325(7370):913-4. doi: 10.1136/bmj.325.7370.913. BMJ. 2002. PMID: 12399321 Free PMC article. No abstract available.

References

    1. Wennberg JE, Fisher ES, Skinner JS. Geography and the debate over Medicare reform. Health Affairs www.healthaffairs.org/WebExclusives/Wennberg_Web_Excl_021302.htm (accessed 11 Oct 2002).
    1. America's best hospitals. US News and World Report. 2001;131(3):44–58. - PubMed
    1. O'Connor AM, Rostom A, Fiset V, Tetroe J, Entwhisle V, Llewellyn-Thomas H, et al. Decision aids for patients facing health treatment or screening decisions: a Cochrane systematic review. BMJ. 1999;319:731–734. - PMC - PubMed
    1. Wennberg JE, Freeman JL, Culp WJ. Are hospital services rationed in New Haven or over-utilized in Boston? Lancet. 1987;i:1185–1188. - PubMed
    1. Wennberg JE, Freeman JL, Shelton RM, Bubolz TA. Hospital use and mortality among Medicare beneficiaries in Boston and New Haven. N Engl J Med. 1989;321:1168–1173. - PubMed