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Volumn 56, Issue 4, 2009, Pages 745-755

Unwarranted Variation in Pediatric Medical Care

Author keywords

Child; Infant; Physician practice patterns; Quality; Small area analysis; Workforce

Indexed keywords

CHILD HEALTH CARE; CLINICAL EFFECTIVENESS; CLINICAL PRACTICE; CONCEPTUAL FRAMEWORK; HEALTH CARE AVAILABILITY; HEALTH CARE DELIVERY; HEALTH CARE MANPOWER; HEALTH CARE QUALITY; HEALTH CARE SYSTEM; HEALTH CARE UTILIZATION; MEDICAL CARE; METHODOLOGY; PEDIATRICIAN; RESOURCE MANAGEMENT; REVIEW; TONSILLECTOMY; TOTAL QUALITY MANAGEMENT; UNITED KINGDOM;

EID: 67949104965     PISSN: 00313955     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.pcl.2009.05.007     Document Type: Review
Times cited : (87)

References (56)
  • 2
    • 67949117951 scopus 로고    scopus 로고
    • Board of Education. Health of the schoolchild 1920. Annual Report of the Chief Medical Officer of the Board of Education for 1920. London: Board of Education; 1920.
    • Board of Education. Health of the schoolchild 1920. Annual Report of the Chief Medical Officer of the Board of Education for 1920. London: Board of Education; 1920.
  • 3
    • 67949090400 scopus 로고    scopus 로고
    • Board of Education. Health of the schoolchild 1931. Annual Report of the Chief Medical Officer of the Board of Education for 1931. London; 1931.
    • Board of Education. Health of the schoolchild 1931. Annual Report of the Chief Medical Officer of the Board of Education for 1931. London; 1931.
  • 4
    • 67949084340 scopus 로고    scopus 로고
    • Board of Education. Health of the schoolchild 1924. Annual Report of the Chief Medical Officer of the Board of Education for 1924. London; 1924.
    • Board of Education. Health of the schoolchild 1924. Annual Report of the Chief Medical Officer of the Board of Education for 1924. London; 1924.
  • 5
    • 1842336499 scopus 로고
    • The incidence of tonsillectomy in school children
    • Glover J.A. The incidence of tonsillectomy in school children. Proc R Soc Med 31 (1938) 95-112
    • (1938) Proc R Soc Med , vol.31 , pp. 95-112
    • Glover, J.A.1
  • 6
    • 0343655990 scopus 로고
    • Measuring the quality of medical care through vital statistics based on hospital service areas. 1. Comparative study of appendectomy rates
    • Lembcke P.A. Measuring the quality of medical care through vital statistics based on hospital service areas. 1. Comparative study of appendectomy rates. Am J Public Health 42 (1952) 276-286
    • (1952) Am J Public Health , vol.42 , pp. 276-286
    • Lembcke, P.A.1
  • 7
    • 0014681584 scopus 로고
    • Variations in the incidence of surgery
    • Lewis C.E. Variations in the incidence of surgery. N Engl J Med 281 16 (1969) 880-884
    • (1969) N Engl J Med , vol.281 , Issue.16 , pp. 880-884
    • Lewis, C.E.1
  • 8
    • 0015756005 scopus 로고
    • Small area variations in health care delivery
    • Wennberg J., and Gittelsohn A. Small area variations in health care delivery. Science 182 (1973) 1102-1108
    • (1973) Science , vol.182 , pp. 1102-1108
    • Wennberg, J.1    Gittelsohn, A.2
  • 9
    • 0017594911 scopus 로고
    • Small area variations in health care delivery
    • Moore F.D. Small area variations in health care delivery. J Maine Med Assoc 68 (1977) 49-57
    • (1977) J Maine Med Assoc , vol.68 , pp. 49-57
    • Moore, F.D.1
  • 10
    • 0020082708 scopus 로고
    • Variations in medical care among small areas
    • Wennberg J., and Gittelsohn A. Variations in medical care among small areas. Sci Am 246 (1982) 120-134
    • (1982) Sci Am , vol.246 , pp. 120-134
    • Wennberg, J.1    Gittelsohn, A.2
  • 11
    • 0023556405 scopus 로고
    • Small area analysis: a review and analysis of the North American literature
    • Shaheen P., Clark J., and Williams D. Small area analysis: a review and analysis of the North American literature. J Health Polit Policy Law 12 4 (1987) 741-809
    • (1987) J Health Polit Policy Law , vol.12 , Issue.4 , pp. 741-809
    • Shaheen, P.1    Clark, J.2    Williams, D.3
  • 12
    • 0023265527 scopus 로고
    • Inter-area variations in age-adjusted health status
    • Blumberg M.S. Inter-area variations in age-adjusted health status. Med Care 25 4 (1987) 340-353
    • (1987) Med Care , vol.25 , Issue.4 , pp. 340-353
    • Blumberg, M.S.1
  • 13
    • 0023275689 scopus 로고
    • 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
    • Wennberg J.E. 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. Med Care 25 4 (1987) 354-359
    • (1987) Med Care , vol.25 , Issue.4 , pp. 354-359
    • Wennberg, J.E.1
  • 14
    • 0017654132 scopus 로고
    • A test of consumer contribution to small area variations in health care delivery
    • Wennberg J.E., and Fowler F.J. A test of consumer contribution to small area variations in health care delivery. J Maine Med Assoc 68 8 (1977) 275-279
    • (1977) J Maine Med Assoc , vol.68 , Issue.8 , pp. 275-279
    • Wennberg, J.E.1    Fowler, F.J.2
  • 15
    • 0024956313 scopus 로고
    • What is too much variation? The null hypothesis in small area analysis
    • Diehr P., Cain K., Connell F., et al. What is too much variation? The null hypothesis in small area analysis. Health Serv Res 24 6 (1990) 741-771
    • (1990) Health Serv Res , vol.24 , Issue.6 , pp. 741-771
    • Diehr, P.1    Cain, K.2    Connell, F.3
  • 16
    • 0000379417 scopus 로고
    • Small area analysis and the medical care outcome problem
    • Sechrest L., Perrin E., and Bunker J. (Eds), Agency for Health Care Policy and Research, Washington, DC p. 177-206.
    • Wennberg J. Small area analysis and the medical care outcome problem. In: Sechrest L., Perrin E., and Bunker J. (Eds). Research methodology: strengthening causal interpretations of nonexperimental data (1990), Agency for Health Care Policy and Research, Washington, DC p. 177-206.
    • (1990) Research methodology: strengthening causal interpretations of nonexperimental data
    • Wennberg, J.1
  • 17
    • 34248549600 scopus 로고    scopus 로고
    • Malpractice liability costs and the practice of medicine in the Medicare program
    • Baicker K., Fisher E.S., and Chandra A. Malpractice liability costs and the practice of medicine in the Medicare program. Health Aff (Millwood) 26 3 (2007) 841-852
    • (2007) Health Aff (Millwood) , vol.26 , Issue.3 , pp. 841-852
    • Baicker, K.1    Fisher, E.S.2    Chandra, A.3
  • 18
    • 33645852084 scopus 로고    scopus 로고
    • Accessed January 22, 2009
    • ISI web of knowledge (2009) Accessed January 22, 2009
    • (2009) ISI web of knowledge
  • 19
    • 0037118291 scopus 로고    scopus 로고
    • The relation between the availability of neonatal intensive care and neonatal mortality
    • Goodman D., Fisher E., Little G., et al. The relation between the availability of neonatal intensive care and neonatal mortality. N Engl J Med 346 20 (2002) 1538-1544
    • (2002) N Engl J Med , vol.346 , Issue.20 , pp. 1538-1544
    • Goodman, D.1    Fisher, E.2    Little, G.3
  • 22
    • 1842317119 scopus 로고
    • Common uses of hospitals: a look at Vermont
    • Sechrest L., Perrin E., and Bunker J. (Eds), Ballinger, Cambridge (MA)
    • Wennberg J., and Kimm S.Y.S. Common uses of hospitals: a look at Vermont. In: Sechrest L., Perrin E., and Bunker J. (Eds). Developing a better health care system for children (1977), Ballinger, Cambridge (MA) 353-382
    • (1977) Developing a better health care system for children , pp. 353-382
    • Wennberg, J.1    Kimm, S.Y.S.2
  • 23
    • 0021280327 scopus 로고
    • Will payment based on diagnosis-related groups control hospital costs?
    • Wennberg J., McPherson K., and Caper P. Will payment based on diagnosis-related groups control hospital costs?. N Engl J Med 311 (1984) 295-300
    • (1984) N Engl J Med , vol.311 , pp. 295-300
    • Wennberg, J.1    McPherson, K.2    Caper, P.3
  • 24
    • 0019440363 scopus 로고
    • Hospitalization of Medicaid children: analysis of small area variations in admission rates
    • Connell F.A., Day R.W., and LoGerfo J.P. Hospitalization of Medicaid children: analysis of small area variations in admission rates. Am J Public Health 71 6 (1981) 606-613
    • (1981) Am J Public Health , vol.71 , Issue.6 , pp. 606-613
    • Connell, F.A.1    Day, R.W.2    LoGerfo, J.P.3
  • 25
    • 0023938679 scopus 로고
    • Poverty, race, and hospitalization for childhood asthma
    • Wissow L.S., Gittelsohn A.M., Szklo M., et al. Poverty, race, and hospitalization for childhood asthma. Am J Public Health 78 7 (1988) 777-782
    • (1988) Am J Public Health , vol.78 , Issue.7 , pp. 777-782
    • Wissow, L.S.1    Gittelsohn, A.M.2    Szklo, M.3
  • 26
    • 33644667361 scopus 로고    scopus 로고
    • Is region of country a useful variable for child health studies?
    • Guagliardo M.F., and Ronzio C.R. Is region of country a useful variable for child health studies?. Pediatrics 116 6 (2005) 1542-1545
    • (2005) Pediatrics , vol.116 , Issue.6 , pp. 1542-1545
    • Guagliardo, M.F.1    Ronzio, C.R.2
  • 27
    • 0028352594 scopus 로고
    • Why are children hospitalized? The role of nonclinical factors in pediatric hospitalizations
    • Goodman D.C., Fisher E.S., Gittelsohn A., et al. Why are children hospitalized? The role of nonclinical factors in pediatric hospitalizations. Pediatrics 93 6 Pt 1 (1994) 896-902
    • (1994) Pediatrics , vol.93 , Issue.6 PART 1 , pp. 896-902
    • Goodman, D.C.1    Fisher, E.S.2    Gittelsohn, A.3
  • 29
    • 0037303596 scopus 로고    scopus 로고
    • Primary care service areas: a new tool for the evaluation of primary care services
    • Goodman D.C., Mick S.S., Bott D., et al. Primary care service areas: a new tool for the evaluation of primary care services. Health Serv Res 38 1 Pt 1 (2003) 287-309
    • (2003) Health Serv Res , vol.38 , Issue.1 PART 1 , pp. 287-309
    • Goodman, D.C.1    Mick, S.S.2    Bott, D.3
  • 30
    • 0035403458 scopus 로고    scopus 로고
    • The uneven landscape of newborn intensive care services: variation in the neonatology workforce
    • Goodman D.C., Fisher E.S., Little G.A., et al. The uneven landscape of newborn intensive care services: variation in the neonatology workforce. Eff Clin Pract 4 4 (2001) 143-149
    • (2001) Eff Clin Pract , vol.4 , Issue.4 , pp. 143-149
    • Goodman, D.C.1    Fisher, E.S.2    Little, G.A.3
  • 32
    • 33645654423 scopus 로고    scopus 로고
    • End-of-life care at academic medical centers: implications for future workforce requirements
    • Goodman D.C., Stukel T.A., Chang C.H., et al. End-of-life care at academic medical centers: implications for future workforce requirements. Health Aff (Millwood) 25 2 (2006) 521-531
    • (2006) Health Aff (Millwood) , vol.25 , Issue.2 , pp. 521-531
    • Goodman, D.C.1    Stukel, T.A.2    Chang, C.H.3
  • 33
    • 0024524765 scopus 로고
    • What do regional variations in the rates of hospitalization of children really mean?
    • Wise P.H., and Eisenberg L. What do regional variations in the rates of hospitalization of children really mean?. N Engl J Med 320 18 (1989) 1209-1211
    • (1989) N Engl J Med , vol.320 , Issue.18 , pp. 1209-1211
    • Wise, P.H.1    Eisenberg, L.2
  • 34
    • 0030907029 scopus 로고    scopus 로고
    • Socioeconomic variation in discretionary and mandatory hospitalization of infants: an ecologic analysis
    • McConnochie K.M., Roghmann K.J., and Liptak G.S. Socioeconomic variation in discretionary and mandatory hospitalization of infants: an ecologic analysis. Pediatrics 99 6 (1997) 774-784
    • (1997) Pediatrics , vol.99 , Issue.6 , pp. 774-784
    • McConnochie, K.M.1    Roghmann, K.J.2    Liptak, G.S.3
  • 35
    • 0028690603 scopus 로고
    • Variations in pediatric hospitalization rates: why do they occur?
    • Perrin J. Variations in pediatric hospitalization rates: why do they occur?. Pediatr Ann 23 12 (1994) 676-683
    • (1994) Pediatr Ann , vol.23 , Issue.12 , pp. 676-683
    • Perrin, J.1
  • 36
    • 33645016801 scopus 로고    scopus 로고
    • Does clinical presentation explain practice variability in the treatment of febrile infants?
    • Bergman D.A., Mayer M.L., Pantell R.H., et al. Does clinical presentation explain practice variability in the treatment of febrile infants?. Pediatrics 117 3 (2006) 787-795
    • (2006) Pediatrics , vol.117 , Issue.3 , pp. 787-795
    • Bergman, D.A.1    Mayer, M.L.2    Pantell, R.H.3
  • 37
    • 33644851681 scopus 로고    scopus 로고
    • Wide geographic variation between Pennsylvania counties in the population rates of hospital admissions for pneumonia among children with and without comorbid chronic conditions
    • Gorton C.P., and Jones J.L. Wide geographic variation between Pennsylvania counties in the population rates of hospital admissions for pneumonia among children with and without comorbid chronic conditions. Pediatrics 117 2 (2006) 176-180
    • (2006) Pediatrics , vol.117 , Issue.2 , pp. 176-180
    • Gorton, C.P.1    Jones, J.L.2
  • 38
    • 67949096644 scopus 로고    scopus 로고
    • Available at: Accessed February 5, 2009
    • Vermont Oxford Network. About us: database. Available at:. http://www.vtoxford.org/home.aspx?p=about/network_db.htm Accessed February 5, 2009
    • About us: database
    • Vermont Oxford Network1
  • 39
    • 0030936642 scopus 로고    scopus 로고
    • Hospital and patient characteristics associated with variation in 28-day mortality rates for very low birth weight infants
    • Horbar J., Badger G., Lewit E., et al. Hospital and patient characteristics associated with variation in 28-day mortality rates for very low birth weight infants. Pediatrics 99 2 (1997) 149-156
    • (1997) Pediatrics , vol.99 , Issue.2 , pp. 149-156
    • Horbar, J.1    Badger, G.2    Lewit, E.3
  • 40
    • 67949102820 scopus 로고    scopus 로고
    • Available at: Accessed February 5, 2009
    • Cystic Fibrosis Foundation. Care Center Network. Available at:. http://www.cff.org/LivingWithCF/CareCenterNetwork/ Accessed February 5, 2009
    • Care Center Network
    • Cystic Fibrosis Foundation1
  • 41
    • 0023938028 scopus 로고
    • An assessment of prostatectomy for benign urinary tract obstruction: geographic variations and the evaluation of medical care outcomes
    • Wennberg J., Mulley Jr. A., Hanley D., et al. An assessment of prostatectomy for benign urinary tract obstruction: geographic variations and the evaluation of medical care outcomes. JAMA 259 20 (1988) 3027-3030
    • (1988) JAMA , vol.259 , Issue.20 , pp. 3027-3030
    • Wennberg, J.1    Mulley Jr., A.2    Hanley, D.3
  • 42
    • 0029353418 scopus 로고
    • Patient reactions to a program designed to facilitate patient participation in treatment decisions for benign prostatic hyperplasia
    • Barry M., Fowler Jr. F., Mulley Jr. A., et al. Patient reactions to a program designed to facilitate patient participation in treatment decisions for benign prostatic hyperplasia. Med Care 33 8 (1995) 771-782
    • (1995) Med Care , vol.33 , Issue.8 , pp. 771-782
    • Barry, M.1    Fowler Jr., F.2    Mulley Jr., A.3
  • 43
    • 0023194244 scopus 로고
    • Are hospital services rationed in New Haven or overutilised in Boston?
    • Wennberg J.E., Freeman J.L., and Culp W.J. Are hospital services rationed in New Haven or overutilised in Boston?. Lancet 1 8543 (1987) 1185-1189
    • (1987) Lancet , vol.1 , Issue.8543 , pp. 1185-1189
    • Wennberg, J.E.1    Freeman, J.L.2    Culp, W.J.3
  • 44
    • 73049134506 scopus 로고
    • Bed supply and hospital utilization: a natural experiment
    • Roemer M.I. Bed supply and hospital utilization: a natural experiment. Hospitals 35 (1961) 36-42
    • (1961) Hospitals , vol.35 , pp. 36-42
    • Roemer, M.I.1
  • 47
    • 0028847777 scopus 로고
    • Hospitalization for lower respiratory tract illness in infants: variation in rates among counties in New York State and areas within Monroe County
    • McConnochie K., Roghmann K., and Liptak G. Hospitalization for lower respiratory tract illness in infants: variation in rates among counties in New York State and areas within Monroe County. J Pediatr 126 2 (1995) 220-229
    • (1995) J Pediatr , vol.126 , Issue.2 , pp. 220-229
    • McConnochie, K.1    Roghmann, K.2    Liptak, G.3
  • 48
    • 33748574600 scopus 로고    scopus 로고
    • Socioeconomic variation in asthma hospitalization: excess utilization or greater need?
    • McConnochie K., Russo M., McBride J., et al. Socioeconomic variation in asthma hospitalization: excess utilization or greater need?. Pediatrics 103 6 (1999) 1-8
    • (1999) Pediatrics , vol.103 , Issue.6 , pp. 1-8
    • McConnochie, K.1    Russo, M.2    McBride, J.3
  • 49
    • 0642335956 scopus 로고    scopus 로고
    • Potentially preventable care: ambulatory care-sensitive pediatric hospitalizations in South Carolina in 1998
    • Garg A., Probst J.C., Sease T., et al. Potentially preventable care: ambulatory care-sensitive pediatric hospitalizations in South Carolina in 1998. Southampt Med J 96 9 (2003) 850-858
    • (2003) Southampt Med J , vol.96 , Issue.9 , pp. 850-858
    • Garg, A.1    Probst, J.C.2    Sease, T.3
  • 50
    • 0028891722 scopus 로고
    • Variations in pediatric pneumonia and bronchitis/asthma admission rates. Is appropriateness a factor?
    • Payne S.M., Donahue C., Rappo P., et al. Variations in pediatric pneumonia and bronchitis/asthma admission rates. Is appropriateness a factor?. Arch Pediatr Adolesc Med 149 2 (1995) 162-169
    • (1995) Arch Pediatr Adolesc Med , vol.149 , Issue.2 , pp. 162-169
    • Payne, S.M.1    Donahue, C.2    Rappo, P.3
  • 51
    • 0029934905 scopus 로고    scopus 로고
    • Does quality of care affect rates of hospitalization for childhood asthma?
    • Homer C., Szilagyi P., Rodewald L., et al. Does quality of care affect rates of hospitalization for childhood asthma?. Pediatrics 98 1 (1996) 18-23
    • (1996) Pediatrics , vol.98 , Issue.1 , pp. 18-23
    • Homer, C.1    Szilagyi, P.2    Rodewald, L.3
  • 52
    • 0037452530 scopus 로고    scopus 로고
    • The implications of regional variations in Medicare spending. Part 1. The content, quality, and accessibility of care
    • Fisher E.S., Wennberg D.E., Stukel T.A., et al. The implications of regional variations in Medicare spending. Part 1. The content, quality, and accessibility of care. Ann Intern Med 138 4 (2003) 273-287
    • (2003) Ann Intern Med , vol.138 , Issue.4 , pp. 273-287
    • Fisher, E.S.1    Wennberg, D.E.2    Stukel, T.A.3
  • 53
    • 0037452507 scopus 로고    scopus 로고
    • The implications of regional variations in Medicare spending. Part 2. Health outcomes and satisfaction with care
    • Fisher E.S., Wennberg D.E., Stukel T.A., et al. The implications of regional variations in Medicare spending. Part 2. Health outcomes and satisfaction with care. Ann Intern Med 138 4 (2003) 288-298
    • (2003) Ann Intern Med , vol.138 , Issue.4 , pp. 288-298
    • Fisher, E.S.1    Wennberg, D.E.2    Stukel, T.A.3
  • 54
    • 0030806724 scopus 로고    scopus 로고
    • Geographic distribution of pediatricians in the United States: an analysis of the fifty states and Washington, DC
    • Chang R.K., and Halfon N. Geographic distribution of pediatricians in the United States: an analysis of the fifty states and Washington, DC. Pediatrics 100 2 Pt 1 (1997) 172-179
    • (1997) Pediatrics , vol.100 , Issue.2 PART 1 , pp. 172-179
    • Chang, R.K.1    Halfon, N.2
  • 55
    • 33947187268 scopus 로고    scopus 로고
    • Are we there yet? Distance to care and relative supply among pediatric medical subspecialties
    • Mayer M. Are we there yet? Distance to care and relative supply among pediatric medical subspecialties. Pediatrics 118 6 (2006) 2313-2321
    • (2006) Pediatrics , vol.118 , Issue.6 , pp. 2313-2321
    • Mayer, M.1
  • 56
    • 0034884920 scopus 로고    scopus 로고
    • Are neonatal intensive care resources located where need is greatest? Regional variation in neonatologists, beds, and low birth weight newborns
    • Goodman D., Fisher E., Little G., et al. Are neonatal intensive care resources located where need is greatest? Regional variation in neonatologists, beds, and low birth weight newborns. Pediatrics 108 (2001) 426-431
    • (2001) Pediatrics , vol.108 , pp. 426-431
    • Goodman, D.1    Fisher, E.2    Little, G.3


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