Building partnerships: addressing overuse, underuse and misuse of careDavid Wennberg
Health Dialog Analytic Solutions, USA
Healthc Exec 23:8-10, 12, 14-5. 2008
- A randomized trial of a telephone care-management strategy
David E Wennberg
Health Dialog Services, Boston, USA
N Engl J Med 363:1245-55. 2010
..The effect of such a strategy on health care costs remains controversial...
- Outcomes of percutaneous coronary interventions performed at centers without and with onsite coronary artery bypass graft surgery
David E Wennberg
Center for Outcomes Research and Evaluation, Portland, ME 04101, USA
JAMA 292:1961-8. 2004
..An ongoing debate focuses on whether institutions should perform percutaneous coronary interventions (PCIs) without an onsite coronary artery bypass graft (CABG) surgery program...
- Long-term outcomes of regional variations in intensity of invasive vs medical management of Medicare Patients with acute myocardial infarction
Therese A Stukel
Center for the Evaluative Clinical Sciences, Dartmouth Medical School, Hanover, NH, USA
JAMA 293:1329-37. 2005
..The health and policy implications of the marked regional variations in intensity of invasive compared with medical management of patients with acute myocardial infarction (AMI) are unknown...
- Hospital-level racial disparities in acute myocardial infarction treatment and outcomes
Amber E Barnato
Department of Medicine, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania 15213, USA
Med Care 43:308-19. 2005
..However, the extent to which unobserved differences between hospitals explains some of these differences is unknown...
- Addressing variations: is there hope for the future?
David E Wennberg
Center for Outcomes Research and Evaluation, Maine Medical Center, Portland, USA
Health Aff (Millwood) . 2003
..The Centers for Medicare and Medicaid Services (CMS) needs to move forward on information-sharing interventions and use demonstrations to pursue innovative strategies to improve the delivery of care through its purchasing power...
- Is surgery getting safer? National trends in operative mortality
Philip P Goodney
VA Outcomes Group, Department of Veterans Affairs Medical Center, White River Junction, VT 05009, USA
J Am Coll Surg 195:219-27. 2002
..These findings suggest the need for systematic efforts to monitor and improve surgical performance...
- Temporal trends in the utilization of diagnostic testing and treatments for cardiovascular disease in the United States, 1993-2001
F L Lucas
Center for Outcomes Research and Evaluation, Maine Medical Center, Portland, ME 04102, USA
Circulation 113:374-9. 2006
....
- Analysis of observational studies in the presence of treatment selection bias: effects of invasive cardiac management on AMI survival using propensity score and instrumental variable methods
Therese A Stukel
Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada
JAMA 297:278-85. 2007
..Comparisons of outcomes between patients treated and untreated in observational studies may be biased due to differences in patient prognosis between groups, often because of unobserved treatment selection biases...
- Differences in cardiac stress testing by sex and race among Medicare beneficiaries
Frances Leslie Lucas
The Center for Outcomes Research and Evaluation, Maine Medical Center Research Institute, Portland, ME 04102, USA
Am Heart J 154:502-9. 2007
..We explored the influence of patient characteristics on receipt of a stress test, with special attention to sex and race...
- Epidemiology and short-term outcomes of injured medicare patients
David E Clark
Center for Outcomes Research and Evaluation, Maine Medical Center, Portland, Maine 04102, USA
J Am Geriatr Soc 52:2023-30. 2004
..To describe characteristics and short-term outcomes of Medicare patients hospitalized after injuries in 1999...
- The relation between patients' outcomes and the volume of cardioverter-defibrillator implantation procedures performed by physicians treating Medicare beneficiaries
Sana M Al-Khatib
Duke Clinical Research Institute, Durham, North Carolina 22715, USA
J Am Coll Cardiol 46:1536-40. 2005
..The purpose of this study is to determine if implantable cardioverter-defibrillator (ICD) implantation should be limited to physicians with high procedural volume...
- Variations in the longitudinal efficiency of academic medical centers
Elliott S Fisher
Dartmouth Medical School in Hanover, New Hampshire, USA
Health Aff (Millwood) . 2004
....
- Will volume-based referral strategies reduce costs or just save lives?
John D Birkmeyer
Health Aff (Millwood) 21:234-41. 2002
..For these reasons, the primary argument for volume-based referral strategies should be improving quality, not reducing costs...
- Adjusting surgical mortality rates for patient comorbidities: more harm than good?
Emily V A Finlayson
VA Outcomes Group, Department of Veterans Affairs Medical Center, White River Junction, VT 05009, USA
Surgery 132:787-94. 2002
..When available, comorbidity information from prior hospitalizations may be more useful for risk adjustment...
- Gender-related changes in the practice and outcomes of percutaneous coronary interventions in Northern New England from 1994 to 1999
David J Malenka
Section of Cardiology, Dartmouth Hitchcock Medical Center, Lebanon, New Hampshire 03756, USA
J Am Coll Cardiol 40:2092-101. 2002
..We sought to determine whether the changing practice of interventional cardiology has been associated with improved outcomes for women, and how these outcomes compare with those for men...
- The implications of regional variations in Medicare spending. Part 1: the content, quality, and accessibility of care
Elliott S Fisher
Center for the Evaluative Clinical Sciences, Dartmouth Medical School, Hanover, New Hampshire 03755, USA
Ann Intern Med 138:273-87. 2003
..The health implications of regional differences in Medicare spending are unknown...
- The implications of regional variations in Medicare spending. Part 2: health outcomes and satisfaction with care
Elliott S Fisher
Center for Evaluative Clinical Sciences, Dartmouth Medical School, Hanover, New Hampshire 03755, USA
Ann Intern Med 138:288-98. 2003
..The health implications of regional differences in Medicare spending are unknown...
- Trends in the diabetes quality improvement project measures in Maine from 1994 to 1999
Monica R McClain
Maine Medical Assessment Foundation, Manchester, Maine, USA
Diabetes Care 26:597-601. 2003
..To examine changes in the management of patients with diabetes from 1994 to 1999 using the claims-based Diabetes Quality Improvement Project (DQIP) accountability measures...
- Predicting vascular complications in percutaneous coronary interventions
Winthrop D Piper
Clinical Research Section, Department of Medicine, Dartmouth Hitchcock Medical Center, Lebanon, NH 03756, USA
Am Heart J 145:1022-9. 2003
..Using a large, current, regional registry of percutaneous coronary interventions (PCI), we identified risk factors for postprocedure vascular complications and developed a scoring system to estimate individual patient risk...
- Do hospitals with low mortality rates in coronary artery bypass also perform well in valve replacement?
Philip P Goodney
VA Outcomes Group, Department of Veterans Affairs Medical Center, White River Junction, and Department of Surgery, Dartmouth Hitchcock Medical Center, Lebananon, New Hampshire, USA
Ann Thorac Surg 76:1131-6; discussion 1136-7. 2003
..We sought to determine if a hospital's performance in CABG is correlated to its performance in heart valve replacement...
- Surgeon volume and operative mortality in the United States
John D Birkmeyer
Department of Surgery, Dartmouth Hitchcock Medical Center, Lebanon, NH 03756, USA
N Engl J Med 349:2117-27. 2003
..Although the relation between hospital volume and surgical mortality is well established, for most procedures, the relative importance of the experience of the operating surgeon is uncertain...
- Hospital volume and surgical mortality in the United States
John D Birkmeyer
Veterans Affairs Outcomes Group, Department of Veterans Affairs Medical Center, White River Junction, VT 05009, USA
N Engl J Med 346:1128-37. 2002
..Although numerous studies suggest that there is an inverse relation between hospital volume of surgical procedures and surgical mortality, the relative importance of hospital volume in various surgical procedures is disputed...
