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Mike Mitka

JAMA. 2006;296:159-160.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

While conventional wisdom states that care for older patients with chronic diseases is best performed by specialty physicians in acute care settings such as academic medical centers, a new report suggests otherwise.

Researchers with the Center for the Evaluative Clinical Sciences at Dartmouth Medical School in Hanover, NH, reported that medical costs varied across the nation but that quality of care is not necessarily linked to higher-cost care. For more than a decade, these researchers have been studying and issuing reports showing such variation, but this study shows for the first time differences among specific hospitals and their physician networks. These differences in cost, visits to specialists, days in the hospital, and use of intensive care beds exist after controlling for illness severity.

Geographic variations in Medicare spending during the last 2 years of life are dramatic, with cost-of-living adjustments to payments by Medicare and differences in the . . . [Full Text of this Article]

WIDE VARIATION



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ABSTRACT