DEALING WITH GEOGRAPHIC VARIATIONS IN THE USE OF HOSPITALS - THE EXPERIENCE OF THE MAINE MEDICAL ASSESSMENT FOUNDATION ORTHOPEDIC STUDY-GROUP

被引：119

作者：

KELLER, RB ^{[1
]}

SOULE, DN ^{[1
]}

WENNBERG, JE ^{[1
]}

HANLEY, DF ^{[1
]}

机构：

[1] DARTMOUTH COLL,HITCHCOCK MED CTR,DARTMOUTH MED SCH,DEPT COMMUNITY MED,HANOVER,NH 03756

来源：

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME | 1990年 / 72A卷 / 09期

关键词：

D O I：

10.2106/00004623-199072090-00002

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Orthopaedists and other physicians in Maine organized the Maine Medical Assessment Foundation to deal with the problem of variations in the rates of hospitalization for orthopaedic conditions. Five musculoskeletal injuries and five orthopaedic procedures were selected for study. The variation in decision-making by orthopaedists was least for fractures of the ankle and fractures of the hip and was greatest for fractures of the forearm, derangement of the knee, and lumbosacral sprain. The rates in an area tended to be consistently high or low for the same treatments. The major reasons for the variations appeared to be related to lack of agreement about optimum treatment. Feedback of data to physicians on variations in patterns of practice reduced the variations.

引用

页码：1286 / 1293

页数：8

共 30 条

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