Hundreds of Mathematics books at half price + FREE shipping! Get yours now >>

Health Services Research

Medical Practice Variations

Editors: Johnson, Ana, Stukel, Thérèse A. (Eds.)

  • Raises critical concerns about the quality, equity and efficiency of international health care resources
  • Synthesizes current research on variations in healthcare utilization, delivery and outcomes
  • Outlines established concepts & frameworks involved in researching medical practice variations
  • Examines systemic questions about healthcare spending, decision-making and service disparities
see more benefits

Buy this book

eReference $279.00
price for USA (gross)
  • ISBN 978-1-4899-7603-1
  • Free shipping for individuals worldwide
Print + eBook $419.00
price for USA
  • ISBN 978-1-4899-7604-8
  • Free shipping for individuals worldwide
  • Online orders shipping within 2-3 days.
Print $279.00
price for USA
  • ISBN 978-1-4899-7602-4
  • Free shipping for individuals worldwide
  • Usually dispatched within 3 to 5 business days.
About this Reference Work

This title deals with internationally documented variations in medical practice and health service that exist across countries as well as regions across a specific country. Such variations raise critical concerns about the quality, equity and efficiency of health care resources across the world. Health services researchers have long been aware of large variations in the use of medical care across regions and medical providers. In the 1930s, the British pediatrician J.A. Glover observed that the rates of tonsillectomy in British schoolchildren varied widely, depending on the district where the students lived and the doctors who examined them. This volume provides a contextual landscape for the study of health care utilization through the lens of medical practice variations. It is grounded in the pioneering work by medical care epidemiologist, Dr. John Wennberg, who revealed wide variations in elective surgical rates across small areas in the U.S. and his findings that these variations were generally not explained by differences in population illness rates or patient preferences but rather, there were strong associations between supply of health care resources, such as hospital beds and physicians and health care utilization.

This volume introduces the concept of medical practice variations and its early history, outlines established concepts and frameworks, with an overview of methods used to understand the variations in medical care

. It makes the case for outcomes research in determining what works in health care and policy reforms to rationalize how care is delivered. Each chapter synthesizes the current published literature in the field and covers a description of medical practice variations in the area, determinants of these variations and outcomes. It outlines the most current research on specific types of utilization such as inpatient care, emergency services, elective surgery, primary care, obstetric and gynaec

ological care, mental health care and end-of-life care, among others. Studies of variation in condition-specific care focus on common conditions such as acute myocardial infarction, congestive heart failure, stroke, diabetes and procedures such as cancer surgery and joint replacement. Special topics include health care spending and quality, shared decision making and disparities.

About the authors

Thérèse Stukel is Senior Scientist at the Institute for Clinical Evaluative Sciences (ICES) in Toronto, ON Canada.

Ana Johnson is Professor in the Department of Public Health Sciences at Queen's University, Kingston, ON Canada. She is also the Site Director of the Institute for Clinical Evaluative Sciences (ICES).

Table of contents (23 chapters)

  • Small Area Analysis and the Challenge of Practice Variation

    Wennberg, John (et al.)

    Pages 1-24

  • Sociological Model for Understanding Medical Practice Variations

    Jong, Judith D. (et al.)

    Pages 25-39

  • Medical Practice Variations in Acute Care Hospitalization

    McGrail, Kimberlyn (et al.)

    Pages 41-52

  • Medical Practice Variations in Elective Surgery

    Bernal-Delgado, Enrique (et al.)

    Pages 53-78

  • Medical Practice Variations in Emergency Services

    Blunt, Ian

    Pages 79-112

Buy this book

eReference $279.00
price for USA (gross)
  • ISBN 978-1-4899-7603-1
  • Free shipping for individuals worldwide
Print + eBook $419.00
price for USA
  • ISBN 978-1-4899-7604-8
  • Free shipping for individuals worldwide
  • Online orders shipping within 2-3 days.
Print $279.00
price for USA
  • ISBN 978-1-4899-7602-4
  • Free shipping for individuals worldwide
  • Usually dispatched within 3 to 5 business days.
Loading...

Recommended for you

Loading...

Bibliographic Information

Bibliographic Information
Book Title
Medical Practice Variations
Editors
  • Ana Johnson
  • Thérèse A. Stukel
Series Title
Health Services Research
Copyright
2016
Publisher
Springer US
Copyright Holder
Springer Science+Business Media New York
eReference ISBN
978-1-4899-7603-1
Print + eBook ISBN
978-1-4899-7604-8
Print ISBN
978-1-4899-7602-4
Series ISSN
2511-8293
Edition Number
1
Number of Pages
XIX, 517
Number of Illustrations and Tables
67 b/w illustrations, 16 illustrations in colour
Topics