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020			_a9781489976031
040			_aES-MaUEC
050		4	_aRA410.6 _b2016 EB
082	0	4	_a353.6
245	1	0	_aMedical Practice Variations _cedited by Ana Johnson, Thérèse A Stukel
250			_a1st ed.
264		1	_aBoston, MA _bSpringer US _c2016
300			_a1 recurso en línea (83 ilustraciones, 16 ilustraciones en color. eReference
336			_aTexto (visual) _btxt _2rdacontent
337			_aelectrónico _bc _2rdamedia
338			_arecurso electrónico _bcr _2rdacarrier
490	0		_aHealth Services Research
505	0		_aDisparities in Medical Practices -- Introduction to Medical Practice Variations and Outcomes Research -- Knowledge Translation Case Studies in Health Services Research -- Medical Practice Variation Methods -- Medical Practice Variations in Acute Care Hospitalization -- Medical Practice Variations in Acute Myocardial Infarction -- Medical Practice Variations in Cancer Surgery -- Medical Practice Variations in Diabetes Mellitus -- Medical Practice Variations in Elective Surgery -- Medical Practice Variations in Emergency Services -- Medical Practice Variations in End-of-Life Care -- Medical Practice Variations in Heart Failure -- Medical Practice Variations in Joint Replacement in Patients with Osteoarthritis -- Medical Practice Variations in Mental Health and Addictions Care -- Medical Practice Variations in Pediatric Care -- Medical Practice Variations in Primary Care -- Medical Practice Variations in Reproductive, Obstetric and Gynaecological Care -- Medical Practice Variations in Stroke -- Medical Practice Variations: Theory of Local Standards -- Practice Guidelines and Practice Variation: Diagnostic Technology in Maternity Care -- Shared Decision-Making for Medical Practice Variations in Elective Surgeries and Tests -- Strategies and Tools to Manage Variation in Regional Governance Systems -- Variations in Healthcare Spending and Quality among Institutions.
520			_aThis title deals with internationally documented variations in medical practice and health service that exist across countries as well as regions across a specific country. Such variations raise critical concerns about the quality, equity and efficiency of health care resources across the world. Health 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 gynaec ological 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	_aServicios de salud _xAdministración _2embne _9188538
700	1		_aJohnson, Ana _eeditor literario _0Local _0http://id.loc.gov/authorities/names/n2016188612 _1http://viaf.org/viaf/86747647 _996549
700	1		_aStukel, Thérèse A. _eeditor literario _996550 _0Local _0http://id.loc.gov/authorities/names/n2016188613
710	2		_aSpringerLink (Online service) _0Local _0http://id.loc.gov/authorities/names/no2005046756 _1http://viaf.org/viaf/148105729 _9106996
856	4	0	_uhttps://go.openathens.net/redirector/universidadeuropea.es?url=https://link.springer.com/book/10.1007/978-1-4899-7603-1 _zAcceso a este recurso digital (usuarios Universidad Europea de Madrid)
901			_ai9781489976031
907			_a.b1293687x _b10-10-17 _c21-11-16
942			_2lcc _cLE
945			_aEBOOK EB _g1 _ieBOOK _j0 _lmae _o- _pEUR0.00 _q- _r- _sb _t15 _u0 _v0 _w0 _x0 _y.i11612514 _z30-06-17
988			_aSpringer_Medicine_2016
998			_aSI _a_alco _a_vill _b10/2018 _cm _dz _ef _feng _gxxu _h0
999			_c84409 _d84409 _x1