Will volume-based referral strategies reduce costs or just save lives?

Health Affairs

Volumn 21, Issue 5, 2002, Pages 234-241

  Birkmeyer, John D ^a   Skinner, Jonathan S ^b   Wennberg, David E ^c  

^a DARTMOUTH HITCHCOCK MEDICAL CENTER   (United States)

^b DARTMOUTH COLLEGE   (United States)

^c MAINE MEDICAL CENTER   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; ECONOMICS; HEALTH ECONOMICS; HEALTH SERVICES RESEARCH; HOSPITAL CHARGE; HOSPITAL COST; HOSPITAL DEPARTMENT; HOSPITAL READMISSION; HUMAN; MORTALITY; OUTCOME ASSESSMENT; PATIENT REFERRAL; STANDARD; STATISTICS; SURGERY; UNITED STATES; UTILIZATION REVIEW;

ECONOMICS, HOSPITAL; HEALTH SERVICES RESEARCH; HOSPITAL CHARGES; HOSPITAL COSTS; HOSPITAL MORTALITY; HUMANS; NEW ENGLAND; OUTCOME ASSESSMENT (HEALTH CARE); PATIENT READMISSION; REFERRAL AND CONSULTATION; SURGERY DEPARTMENT, HOSPITAL; SURGICAL PROCEDURES, OPERATIVE; UNITED STATES;

EID: 0036716382     PISSN: 02782715     EISSN: None     Source Type: Journal    
DOI: 10.1377/hlthaff.21.5.234     Document Type: Article

References (13)

1. See, for example, H.S. Luft, J.P. Bunker, and A.C. Enthoven, "Should Operations Be Regionalized? The Empirical Relation between Surgical Volume and Mortality," New England Journal of Medicine 301, no. 25 (1979): 1364-1369; and C.B. Begg et al., "Impact of Hospital Volume on Operative Mortality for Major Cancer Surgery," Journal of the American Medical Association 280, no. 20 (1998): 1747-1751.
2. See, for example, H.S. Luft, J.P. Bunker, and A.C. Enthoven, "Should Operations Be Regionalized? The Empirical Relation between Surgical Volume and Mortality," New England Journal of Medicine 301, no. 25 (1979): 1364-1369; and C.B. Begg et al., "Impact of Hospital Volume on Operative Mortality for Major Cancer Surgery," Journal of the American Medical Association 280, no. 20 (1998): 1747-1751.
3. See R.A. Dudley et al., "Selective Referral to High-Volume Jospitals: Estimating Potentially Avoidable Deaths," Journal of the American Medical Association 283, no. 9 (2000): 1159-1166.
4. See A. Comarow, "Higher Volume, Fewer Deaths," U.S. News and World Report, 17 July 2000, 68-70; and L. Marsa, "Not Every Hospital Is Created Equal," Los Angeles Times, 25 September 2000.
5. See A. Comarow, "Higher Volume, Fewer Deaths," U.S. News and World Report, 17 July 2000, 68-70; and L. Marsa, "Not Every Hospital Is Created Equal," Los Angeles Times, 25 September 2000.
6. See J. Arnold and D. Mendelson, "Evaluation of the Pennsylvania Certificate of Need Program" (Falls Church, Va.: Lewin-ICF, 1992).
7. See www.leapfroggroup.org.
8. See L.L. Leape et al., "Does Inappropriate Use Explain Small-Area Variations in the Use of Health Care Services?" Journal of the American Medical Association 263, no. 5 (1990): 669-672; and M.R. Chassin et al., "Does Inappropriate Use Explain Geographic Variations in the Use of Health Care Services? A Study of Three Procedures," Journal of the American Medical Association 258, no. 18 (1987): 2533-2537.
9. See L.L. Leape et al., "Does Inappropriate Use Explain Small-Area Variations in the Use of Health Care Services?" Journal of the American Medical Association 263, no. 5 (1990): 669-672; and M.R. Chassin et al., "Does Inappropriate Use Explain Geographic Variations in the Use of Health Care Services? A Study of Three Procedures," Journal of the American Medical Association 258, no. 18 (1987): 2533-2537.
10. See M.R. Chassin, "Explaining Geographic Variations: The Enthusiasm Hypothesis," Medical Care 31, no. 5 (Supplement 1993): YS37-YS44.
11. See J.D. Birkmeyer, F.L Lucas, and D.E. Wennberg, "Potential Benefits of Regionalizing Major Surgery for Medicare Patients," Effective Clinical Practice 2, no. 6 (1999): 277-283; and J.D. Birkmeyer et al., "Leapfrog Safety Standards: Potential Benefits of Universal Adoption," www.leapfroggroup.org/PressEvent/ birkmeyer.pdf (6 May 2002).
12. See J.D. Birkmeyer, F.L Lucas, and D.E. Wennberg, "Potential Benefits of Regionalizing Major Surgery for Medicare Patients," Effective Clinical Practice 2, no. 6 (1999): 277-283; and J.D. Birkmeyer et al., "Leapfrog Safety Standards: Potential Benefits of Universal Adoption," www.leapfroggroup.org/PressEvent/ birkmeyer.pdf (6 May 2002).
13. See J.D. Birkmeyer, C.M. Birkmeyer, and J.S. Skinner, "Economic Implications of the Leapfrog Safety Standards," www.leapfroggroup.org/toolkit/LF.Costs.Final.pdf (6 May 2002).