Research Topics
| John WennbergSummaryAffiliation: Dartmouth Medical School Country: USA Publications
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Detail Information
Publications
Practice variations and health care reform: connecting the dotsJohn E Wennberg
Center for the Evaluative Clinical Sciences at Dartmouth Medical School in Hanover, New Hampshire, USA
Health Aff (Millwood) . 2004..Medicare reform legislation creates the opportunity for a demonstration project to redesign health care to address these barriers. We also must grapple with the cultural bias that more care is better and that physicians must know best...- Use of Medicare claims data to monitor provider-specific performance among patients with severe chronic illnessJohn E Wennberg
Center for the Evaluative Clinical Sciences, Dartmouth Medical School, New Hampshire, USA
Health Aff (Millwood) . 2004..We believe that hospital-specific measures can be helpful in identifying providers with acceptable quality indices who are also relatively efficient in managing chronic illness... - Commentary: A debt of gratitude to J. Alison GloverJohn Wennberg
The Dartmouth Institute for Health Policy and Clinical Practice, 35 Centerra Parkway, Suite 300, Lebanon, NH 03766, USA
Int J Epidemiol 37:26-9. 2008 
Unwarranted variations in healthcare delivery: implications for academic medical centresJohn E Wennberg
Center for the Evaluative Clinical Sciences, 7251 Strasenburgh, Dartmouth Medical School 03755-3863, USA
BMJ 325:961-4. 2002- Use of hospitals, physician visits, and hospice care during last six months of life among cohorts loyal to highly respected hospitals in the United StatesJohn E Wennberg
Center for the Evaluative Clinical Sciences, Dartmouth Medical School, 7251 Strasenburgh, Hanover, NH 03755 3863, USA
BMJ 328:607. 2004..To evaluate the use of healthcare resources during the last six months of life among patients of US hospitals with strong reputations for high quality care in managing chronic illness... - Evaluating the efficiency of california providers in caring for patients with chronic illnessesJohn E Wennberg
Center for the Evaluative Clinical Sciences, Dartmouth Medical School in Hanover, New Hampshire, USA
Health Aff (Millwood) . 2005..The data point to important opportunities to improve efficiency... - Geography and the debate over Medicare reformJohn E Wennberg
Center for Evaluative Clinical Sciences, Dartmouth Medical School, Hanover, New Hampshire, USA
Health Aff (Millwood) . 2002..We suggest that our proposal be tested in a major demonstration project.. - Geographic variation in diagnosis frequency and risk of death among Medicare beneficiariesH Gilbert Welch
Department of Veterans Affairs Medical Center, White River Junction, Vermont, USA
JAMA 305:1113-8. 2011..Because diagnosis is typically thought of as purely a patient attribute, it is considered a critical factor in risk-adjustment policies designed to reward efficient and high-quality care... - Exceptionalism or extravagance? What's different about health care in South FloridaJonathan Skinner
Center for the Evaluative Clinical Sciences, Dartmouth Medical School, Hanover, New Hampshire, USA
Health Aff (Millwood) . 2003..Instead, end-of-life care makes Miami truly exceptional: Patients in their last six months of life see more physicians and spend more time in intensive care than is the case virtually anywhere else in the world... - End-of-life care at academic medical centers: implications for future workforce requirementsDavid C Goodman
Center for the Evaluative Clinical Sciences CECS, Dartmouth Medical School, Hanover, New Hampshire, USA
Health Aff (Millwood) 25:521-31. 2006.... - Extending the P4P agenda, part 1: how Medicare can improve patient decision making and reduce unnecessary careJohn E Wennberg
Dartmouth Institute for Health Policy and Clinical Practice, Dartmouth Medical School in Hanover, New Hampshire, USA
Health Aff (Millwood) 26:1564-74. 2007..This paper outlines a strategy to achieve informed patient choice as the standard of practice for preference-sensitive care... - Extending the P4P agenda, part 2: how Medicare can reduce waste and improve the care of the chronically illJohn E Wennberg
Dartmouth Institute for Health Policy and Clinical Practice, USA
Health Aff (Millwood) 26:1575-85. 2007..This paper recommends a strategy for achieving this goal... - Inpatient care intensity and patients' ratings of their hospital experiencesJohn E Wennberg
Evaluative Clinical Sciences and Dartmouth Institute for Health Policy and Clinical Practice in Lebanon, New Hampshire, USA
Health Aff (Millwood) 28:103-12. 2009..The common thread linking greater care intensity with lower quality and less favorable patient experiences may be poorly coordinated care... - Benchmarking the future generalist workforceJon D Lurie
Center for the Evaluative Clinical Sciences, Department of Community and Family Medicine, Dartmouth Medical School, Hanover, NH, USA
Eff Clin Pract 5:58-66. 2002..However, recent trends suggest that more physicians are entering primary care, raising the possibility of a future surplus... - Who you are and where you live: how race and geography affect the treatment of medicare beneficiariesKatherine Baicker
Dartmouth College, Hanover, New Hampshire, USA
Health Aff (Millwood) . 2004..Differences in end-of-life care are driven more by residence than by race. Policies should focus on getting the rates right, rather than solely on racial differences... - Trends and geographic variations in major surgery for degenerative diseases of the hip, knee, and spineJames N Weinstein
Department of Orthopaedic Surgery, Dartmouth Medical School, Dartmouth Hitchcock Medical Center in Lebanon, New Hampshire, USA
Health Aff (Millwood) . 2004..Involving the patient in choice of treatments (shared decision making) and outcomes research are promising strategies for reducing unwarranted regional variation and local constancy in surgery risk... - Health care quality, geographic variations, and the challenge of supply-sensitive careElliott S Fisher
Center for the Evaluative Clinical Sciences, Dartmouth Medical School, Hannover, NH 03755-3863, USA
Perspect Biol Med 46:69-79. 2003 - Practice variation: implications for our health care systemJohn E Wennberg
Center for the Evaluative Clinical Sciences, Dartmouth Medical School, NH, USA
Manag Care 13:3-7. 2004 - Postmarketing surveillance of medical devices using Medicare claimsDavid J Malenka
Dartmouth Hitchcock Medical Center, in Lebanon, New Hampshire, USA
Health Aff (Millwood) 24:928-37. 2005.... - Regional variations in diagnostic practicesYunjie Song
Dartmouth Institute for Health Policy and Clinical Practice, Hanover, NH, USA
N Engl J Med 363:45-53. 2010..Current methods of risk adjustment rely on diagnoses recorded in clinical and administrative records. Differences among providers in diagnostic practices could lead to bias... - The more things change...: the federal government's role in the evaluative sciencesJohn E Wennberg
Center for the Evaluative Clinical Sciences, Dartmouth Medical School, Hanover, New Hampshire, USA
Health Aff (Millwood) . 2003.... - Racial, ethnic, and geographic disparities in rates of knee arthroplasty among Medicare patientsJonathan Skinner
Center for the Evaluative Clinical Sciences and Community and Family Medicine, Dartmouth Medical School, Lebanon, NH, USA
N Engl J Med 349:1350-9. 2003..There are large variations in the use of knee arthroplasty among Medicare enrollees according to race or ethnic group and sex. Are racial and ethnic disparities more pronounced in some regions than in others, and if so, why?.. - Design of the Spine Patient outcomes Research Trial (SPORT)Nancy J O Birkmeyer
Department of Surgery, Community and Family Medicine, Clinical Trials Center, Dartmouth Medical School, Lebanon
Spine 27:1361-72. 2002..CONCLUSIONS: The results of this study will provide high-quality scientific evidence to aid clinical decision-making and improve treatment outcomes for these common, costly, and, in some instances, debilitating conditions... - Finding high quality, efficient providers for value purchasing: cohort methods better than methods based on eventsJohn E Wennberg
Med Care 40:853-5. 2002 - Paying for performance: Medicare should leadDonald M Berwick
Health Aff (Millwood) 22:8-10. 2003 - Standard consultations are not enough to ensure decision quality regarding preference-sensitive optionsAlbert G Mulley
J Natl Cancer Inst 95:570-1. 2003 - Toward the 'tipping point': decision aids and informed patient choiceAnnette M O'Connor
School of Nursing and Department of Epidemiology and Community Medicine, University of Ottawa
Health Aff (Millwood) 26:716-25. 2007..This paper discusses progress in implementing decision aids and the policy prospects for reaching a "tipping point" in the adoption of "informed patient choice" as a standard of practice... - Geography and the debate over medicare reformJohn E Wennberg
Health Aff (Millwood) . 2004..We suggest that our proposal be tested in a major demonstration project... - 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... - Bereaved family member perceptions of quality of end-of-life care in U.S. regions with high and low usage of intensive care unit careJoan M Teno
Center for Gerontology and Health Care Research, Brown Medical School, Providence, Rhode Island 02912, USA
J Am Geriatr Soc 53:1905-11. 2005..To compare the quality of end-of-life care of persons dying in regions of differing practice intensity...