Variations in the longitudinal efficiency of academic medical centers

被引：59

作者：

Fisher, ES ^{[1
]}

Wennberg, DE

Stukel, TA

Gottlleb, DJ

机构：

[1] Dartmouth Coll Sch Med, Ctr Evaluat Clin Sci, Hanover, NH USA

[2] VA Med Ctr, VA Outcomes Grp, White River Jct, VT USA

[3] Maine Med Ctr, Ctr Outcomes Res & Evaluat, Portland, ME 04102 USA

[4] Inst Clin Evaluat Sci, Toronto, ON, Canada

来源：

HEALTH AFFAIRS | 2004年 / 23卷 / 06期

关键词：

D O I：

10.1377/hlthaff.var.19

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Recent studies have revealed dramatic differences among academic medical centers (AMCs) in the quantity of care provided to their patients. The implications, however, depend upon whether the additional resources provided by some centers lead to better results. This study describes the content, quality, and outcomes of care across AMCs that differ by up to 60 percent in the overall intensity of medical services delivered to patients with serious chronic illnesses. Efforts to reduce costs will require attention to supply-sensitive services (the frequency of hospital stays, physician visits, specialist consultations, diagnostic tests, and minor procedures) and should include a focus on the longitudinal efficiency of hospitals and medical staffs.

引用

页码：VAR19 / VAR32

页数：14

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