作者
Elliott S Fisher, David E Wennberg, Thrse A Stukel, Daniel J Gottlieb, F Lee Lucas, Etoile L Pinder
发表日期
2003/2/18
期刊
Annals of internal medicine
卷号
138
期号
4
页码范围
273-287
出版商
American College of Physicians
简介
Background
The health implications of regional differences in Medicare spending are unknown.
Objective
To determine whether regions with higher Medicare spending provide better care.
Design
Cohort study.
Setting
National study of Medicare beneficiaries.
Patients
Patients hospitalized between 1993 and 1995 for hip fracture (n = 614 503), colorectal cancer (n = 195 429), or acute myocardial infarction (n = 159 393) and a representative sample (n = 18 190) drawn from the Medicare Current Beneficiary Survey (19921995).
Exposure Measurement
End-of-life spending reflects the component of regional variation in Medicare spending that is unrelated to regional differences in illness. Each cohort member's exposure to different levels of …
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ES Fisher, DE Wennberg, TA Stukel, DJ Gottlieb… - Annals of internal medicine, 2003