Comparing the importance of disease rate versus practice style variations in explaining differences in small area hospitalization rates for two respiratory conditions

Statistics in Medicine

Volumn 22, Issue 10, 2003, Pages 1775-1786

  Peköz, Erol A ^a   Shwartz, Michael ^a   Iezzoni, Lisa I ^b   Ash, Arlene S ^c   Posner, Michael A ^d   Restuccia, Joseph D ^a  

^a BOSTON UNIVERSITY   (United States)

^b BETH ISRAEL DEACONESS MEDICAL CENTER   (United States)

^c BOSTON UNIVERSITY SCHOOL OF MEDICINE   (United States)

^d BOSTON UNIVERSITY SCHOOL OF PUBLIC HEALTH   (United States)

Author keywords

Hospital Utilization; Practice style; Small area variations

Indexed keywords

ARTICLE; BACTERIAL PNEUMONIA; BAYES THEOREM; CHRONIC BRONCHITIS; CONTROLLED STUDY; CORRELATION ANALYSIS; EMPHYSEMA; GEOGRAPHIC DISTRIBUTION; HEALTH CARE; HOSPITAL ADMISSION; HOSPITAL PATIENT; HOSPITALIZATION; HUMAN; MEDICAL LITERATURE; MEDICAL PRACTICE; MEDICARE; OUTCOMES RESEARCH; OUTPATIENT; POISSON DISTRIBUTION; RESPIRATORY TRACT DISEASE; STATISTICAL ANALYSIS; STATISTICAL MODEL; UNITED STATES;

AGED; BAYES THEOREM; BRONCHITIS; CHRONIC DISEASE; DIAGNOSIS-RELATED GROUPS; FEMALE; HOSPITALIZATION; HUMANS; MALE; MASSACHUSETTS; MODELS, STATISTICAL; PNEUMONIA, BACTERIAL; POISSON DISTRIBUTION; PULMONARY EMPHYSEMA; SMALL-AREA ANALYSIS;

EID: 0037687711     PISSN: 02776715     EISSN: None     Source Type: Journal    
DOI: 10.1002/sim.1398     Document Type: Article

References (23)

1. Barnes BA, O'Brien EZ, Comstock CB, D'Apra D, Donahue D. Report on variation in rates of utilization of surgical services in the Commonwealth of Massachusetts. Journal of the American Medical Association 1985; 254:371-375.
2. Carlisle DM, Valdez RB, Shapiro MF, Brook RH. Geographic variation in rates of selected surgical procedures within Los Angeles County. Health Service Research 1995; 30:27-42.
3. Connell FA, Day RW, LoGerfo JP. Hospitalization of Medicaid children: analysis of small area variations in admission rates. American Journal of Public Health 1981; 71:606-613.
4. Folland S, Stano M. Small area variations: a critical review of propositions, methods and evidence. Medical Care Reviews 1990; 47:419-465.
5. Gittelsohn AM, Powe NR. Small area variations in health care delivery in Maryland. Health Service Research 1995; 30:295-317.
6. Lewis CE. Variations in the incidence of surgery. New England Journal of Medicine 1969; 281:880-884.
7. McMahon LF, Wolfe RA, Tedeschi PJ. Variation in hospital admissions among small areas: a comparison of Maine and Michigan. Medical Care 1989; 27:623-631.
8. McPherson S, Wennberg JE, Hovind OB, Clifford P. Small-area variations in the use of common surgical procedures: an international comparison of New England, England and Norway. New England Journal of Medicine 1982; 307:1310-1314.
9. Paul-Shaheen P, Clark JD, Williams D. Small area analysis: a review and analysis of the North American literature. Journal of Health Politics and Policy Law 1987; 12:741-809.
10. Roos NP, Roos LL Jr. Surgical rate variations: do they reflect the health or socioeconomic characteristics of the population. Medical Care 1982; 20:945-958.
11. Roos NP. Hysterectomy: variations in rates across small areas and across physicians' practices. American Journal of Public Health 1984; 74:327-335.
12. Wennberg JE, Gittelsohn A. Health care delivery in Maine I: patterns of use of common surgical procedures. Journal of the Maine Medical Association 1975; 66:123-130.
13. Wennberg JE, Gittelsohn A. Variations in medical care among small areas. Scientific American 1982; 246: 120-133.
14. Wennberg JE, Barnes BA, Zubkoff M. Professional uncertainty and the problem of supplier-induced demand. Social Science in Medicine 1982; 16:811-824.
15. Wennberg JE. Population illness rates do not explain population hospitalization rates: a comment on Mark Blumberg's thesis that morbidity adjusters are needed to interpret small area variations. Medical Care 1987; 25:354-359.
16. Fisher ES, Welch HG, Wennberg JE. Prioritizing Oregon's hospital resources: an example based on variations in discretionary medical utilization. Journal of the American Medical Association 1992; 267:1925-1931.
17. Blumberg MS. Inter-area variations in age-adjusted health status. Medical Care 1987; 25:340-353.
18. Green LA, Becker MP. Physician decision making and variation in hospital admission rates for suspected acute cardiac ischemia: a tale of two towns. Medical Care 1994; 32:1086-1097.
19. Shwartz M, Ash AS, Anderson J, Iezzoni LI, Payne S, Restuccia JD. Small area variations in hospitalization rates: how much you see depends on how you look. Medical Care 1994; 32:189-201.
20. Shwartz M, Iezzoni LI, Ash AS, Posner MA, Pekoz EA, Restuccia JD. More Disease: How Major a Factor in Higher Utilization? Final Report submitted to the Agency for Healthcare Research and Quality, August, 2001 (Grant No. R03 HS09832-01).
21. Romesburg CH. Cluster Analysis for Researchers. Wadsworth: London, 1984.
22. Shwartz M, Payne SMC, Restuccia JD, Ash A. Does it matter how small geographic areas are constructed? Ward's algorithm versus the plurality rule. Health Services & Outcomes Research Methodology 2001; 2:5-18.
23. Wennberg JE, Fowler FJ. A test of consumer contributions to small area variations in health care delivery. Journal of the Maine Medical Association 1977; 68:275-279.