Dartmouth atlas of health care in Michigan : The Center for the Evaluative Clinical Sciences Dartmouth Medical School / Wennberg, John E.

Format:

Book

Author/Creator:

Wennberg, John E., author.

Language:

English

Subjects (All):

Health services administration.

Physical Description:

1 online resource

Place of Publication:

Hanover, New Hampshire : Center for the Evaluative Clinical Sciences, Dartmouth Medical School, 2000.

Contents:

The Dartmouth Atlas of Health Care in the United States

Front Matter

The Center for the Evaluative Clinical Sciences

Maps

Figures

Tables

Introduction

About Rates in the Atlas

Making Fair Comparisons Between Regions

Communicating With Us About the Atlas

Chapter One. The Geography of Health Care in Michigan

Chapter Two. Acute Care Hospital Resources and the Physician Workforce

Acute Care Hospital Resources

Acute Care Hospital Beds

Hospital Employees

Registered Nurses Employed by Acute Care Hospitals

The Physician Workforce

The Physician Workforce Active in Patient Care

Physicians in Primary Care

Specialists

Chapter Two Table

Chapter Three. Variations in Hospitalizations for Medical Conditions

The Patterns of Hospitalization for Treatment of Hip Fracture

Need, Not Hospital Capacity, Drives Hip Fracture Hospitalization Rates

Variations in Discharges for Specific Medical Conditions

Discharges for Medical Conditions Among Adult BCBSM Members

Discharges for Medical Conditions Among Child BCBSM Members

Discharges for Medical Conditions Among Michigan Medicare Enrollees

Hospital Capacity Matters

Hospitalization for Ambulatory Care-Sensitive Conditions

Supply of Resources, Access and Continuity of Care and Hospitalizations for Ambulatory Care-Sensitive Conditions

The Medical Signatures of Selected Michigan Hospital Service Areas

Is More Acute Hospital Care Better?

Chapter Three Table

Chapter Four. The Surgical Treatment of Common Diseases

Colorectal Cancer

Childbirth

Injuries to the Knee

Tonsillectomy

Middle Ear Disease

Cholecystectomy

Benign Conditions of the Uterus

Back Pain

The Surgical Signature

Chapter Four Table

Chapter Five. Coronary Artery Disease

Diagnostic Testing for Coronary Artery Disease

The Use of Non-Imaging Stress Testing

The Use of Imaging Stress Testing in BCBSM Members With Coronary Artery Disease

Is There Evidence of Substitution Between Imaging and Non-Imaging Stress Testing?

The Evaluation of Left Ventricular Ejection Fraction: the Use of Echocardiography and Nuclear Scanning

Echocardiography

The Evaluation of Coronary Anatomy: the Use of Coronary Angiography

Coronary Angiography

Therapeutic Interventions for Coronary Artery Disease

Coronary Artery Bypass Grafting

Percutaneous Coronary Interventions

Total Revascularization

The Association between Diagnostic Testing and Cardiac Revascularization

What Do These Relationships Mean?

The Use of Beta Blockers Following Acute Myocardial Infarction or Cardiac Revascularization

The Use of Lipid Lowering Agents following Acute Myocardial Infarction or Cardiac Revascularization

Readmission Within Thirty Days of Discharge for Acute Myocardial Infarction or Cardiac Revascularization

Chapter Five Table

Chapter Six. The Intensity of Care in the Last Six Months of Life

The Likelihood That Death Will Occur in a Hospital, Rather Than Elsewhere

The Likelihood of Being Admitted to an Intensive Care Unit During the Last Six Months of Life

Physician Visits During the Last Six Months of Life

Primary Care Physician Visits During the Last Six Months of Life

Visits to Medical Specialists During the Last Six Months of Life

The Likelihood of Seeing Ten or More Physicians in the Last Six Months of Life

Chapter Six Tables

Chapter Seven. Practice Variations and the Use of Prescription Drugs

Patterns of Variation in Pharmaceutical Use

Treatment of Elevated Cholesterol

The Use of HMG Lipid (Statin) Drugs

The Use of Angiotensin-converting Enzyme (ACE) Inhibitors and Beta Blockers

The Use of ACE Inhibitors Among BCBSM Members with Pharmacy Benefits

The Use of Beta Blockers Among BCBSM Members with Pharmacy Benefits

The Treatment of Conditions Associated with Gastric Acid Secretion

The Use of Proton Pump Inhibitors

The Treatment of Allergies

The Use of Prescription Antihistamines

Treatment of Depression

The Use of Selective Serotonin Re-uptake Inhibitors

Treatment of Anxiety

The Use of Anti-Anxiety Drugs

Pediatric Antibiotics

The Use of Low and High Cost Antibiotics by Children

Treatment of Attention Deficit Disorders In Children

Use of Attention Deficit Hyperactivity Disorder Drugs by Children

Chapter Seven Table

Chapter Eight. The Problem of Unwanted Variations

The Underuse of Effective Medical Care

Screening for Breast Cancer

Annual Eye Examinations for Diabetics

Beta Blockers and ACE Inhibitors for Heart Attack Patients

Beta Blockers at Discharge

The Use of ACE Inhibitors

Why is There Underuse of Effective Services?

Underuse and Overuse of Surgery and The Quality of Clinical Science

The Overuse of Discretionary Surgery

Discretionary Surgery and the Question of Which Rate is Right

Shared Decision Making and the Right Rate for Discretionary Surgery

Shared Decision Making and the Rate of Surgery for Benign Prostatic Hyperplasia

Shared Decision Making and the Rate of Surgery for Stable Angina

Shared Decision Making and the Rate of Surgery for Lumbar Disc Disease

Shared Decision Making and the Rate of Surgery for Spinal Stenosis

Overuse and Underuse of Prescription Drugs

Overuse and Underuse of Hospitals for Medical Conditions

Overuse and Underuse of End of Life Care

What Does Greater Health Care Spending Buy?

Michigan Conforms to the National Pattern

The Challenge of Practice Variations

Chapter Eight Table

Appendix on Methods.

Notes:

Description based on publisher supplied metadata and other sources.