000			03392nam a2200349 c4500
988			_aSpringer_Medicine_2019
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008			190617s2019 xxua o |||| 0|eng d
020			_a9781489975737
024	7		_a10.1007/978-1-4899-7573-7 _2doi
040			_aES-MaUEC _bspa _cES-MaUEC
050		4	_aRA410.6 _b2019 EB
082	0	4	_223
245	0	0	_aMedical Practice Variations _cedited by Ana Johnson, Thérèse Stukel.
264		1	_aNew York, NY _bSpringer US : _bImprint: Springer _c2019.
300			_a1 recurso en línea (500 páginas)
347			_atext file _bPDF
490	0		_aHealth Services Research _x2511-8293
490	0		_aMedicine (Springer-11650)
520	3		_aHealth services researchers have long been aware of large variations in the use of medical care across regions and medical providers. In the 1930s, the British pediatrician J.A. Glover observed that the rates of tonsillectomy in British schoolchildren varied widely, depending on the district where the students lived and the doctors who examined them. This volume provides a contextual landscape for the study of health care utilization through the lens of medical practice variations. It is grounded in the pioneering work by medical care epidemiologist, Dr. John Wennberg, who revealed wide variations in elective surgical rates across small areas in the U.S. and his findings that these variations were generally not explained by differences in population illness rates or patient preferences but rather, there were strong associations between supply of health care resources, such as hospital beds and physicians and health care utilization. This volume introduces the concept of medical practice variations and its early history, outlines established concepts and frameworks, with an overview of methods used to understand the variations in medical care. It makes the case for outcomes research in determining what works in health care and policy reforms to rationalize how care is delivered. Each chapter synthesizes the current published literature in the field and covers a description of medical practice variations in the area, determinants of these variations and outcomes. It outlines the most current research on specific types of utilization such as inpatient care, emergency services, elective surgery, primary care, obstetric and gynaecological care, mental health care and end-of-life care, among others. Studies of variation in condition-specific care focus on common conditions such as acute myocardial infarction, congestive heart failure, stroke, diabetes and procedures such as cancer surgery and joint replacement. Special topics include health care spending and quality, shared decision making and disparities.
650		7	_aEconomía de la salud _2embne _9150344
700	1		_aJohnson, Ana _eeditor _4edt _4http://id.loc.gov/vocabulary/relators/edt _996549
700	1		_aStukel, Thérèse _eeditor _4edt _4http://id.loc.gov/vocabulary/relators/edt
773	0		_tSpringer Nature Living Reference
856	4	0	_uhttps://go.openathens.net/redirector/universidadeuropea.es?url=https://doi.org/10.1007/978-1-4899-7573-7 _zAcceso a este recurso digital (usuarios Universidad Europea de Madrid)
942			_2lcc _cLE
998			_cm _dz _feng _ggw _h0 _b11/2019 _eh _zSI