Small Area Variations in Health Care Delivery

  title={Small Area Variations in Health Care Delivery},
  author={John E. Wennberg and Alan M. Gittelsohn},
  pages={1102 - 1108}
Health information about total populations is a prerequisite for sound decision-making and planning in the health care field. Experience with a population-based health data system in Vermont reveals that there are wide variations in resource input, utilization of services, and expenditures among neighboring communities. Results show prima facie inequalities in the input of resources that are associated with income transfer from areas of lower expenditure to areas of higher expenditure… 

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The assertion that regional variation in Medicare spending in the last two years of life is indicative of widespread waste in the U.S. health care system became a controversial part of the health care reform debate in 2009-2010.

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THE report of the President's Commission on Heart Disease, Cancer and Stroke, published in late 1964, has proposed a program to effect a reduction of unnecessary deaths from heart disease, cancer a...

Variations in the incidence of surgery.

  • C. Lewis
  • Sociology
    The New England journal of medicine
  • 1969
Abstract Analysis of records of the Kansas Blue Cross Association shows three to four-fold variations in regional rates for the performance of six common surgical procedures. These variations chara...

Cotton, 0. L. Peterson, ibid

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Modified from Vermont State Plan jo, Construction and Modernization oj HospiUll and Medical Fadlities (Vermont State Health De

    Unpublished report prepared by the Northern New England Regional Medical Proitam for the Connecticut Valley Health Compact

    • 1971

    Blenden's classification of level of difficulty of surgical procedures was used lR

      Each data set has been modified into a standard format and code system for in