FREE NEJM E-TOC    HOME   |   SUBSCRIBE   |   CURRENT ISSUE   |   PAST ISSUES   |   COLLECTIONS   |   Search Term  Advanced Search

Sign in | Get NEJM's E-Mail Table of Contents — Free | Subscribe

Previous Volume 333:589-590 August 31, 1995 Number 9 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

	Full Text Purchase this article Add to Personal Archive Add to Citation Manager Notify a Friend E-mail When Cited PubMed Citation

For more than 20 years, investigators have documented substantial variation in the use of medical and surgical procedures, hospital resources, and medications at both the regional and international levels.^1,2,3 From this research we have learned that the type of medical care that patients receive may depend on where they live. More recently, investigators began to study another type of variation — variation in clinical outcomes such as mortality after cardiac surgery. Once again we have learned that there is substantial variation among regions, hospitals, and even individual physicians.^4,5 At first the medical community greeted the reports with indifference and some . . . [Full Text of this Article]

References

This article has been cited by other articles:

• Sedrakyan, A., van der Meulen, J., Lewsey, J., Treasure, T. (2004). Variation in use of video assisted thoracic surgery in the United Kingdom. BMJ 329: 1011-1012 [Full Text]  
• Hafferty, F. (2003). Finding Soul in a "Medical Profession of One". Journal of Health Politics, Policy and Law 28: 133-158  
• Weiss, K. B., Wagner, R. (2000). Performance Measurement Through Audit, Feedback, and Profiling as Tools for Improving Clinical Care. Chest 118: 53S-58S [Abstract] [Full Text]  
• Morreim, E. H. (2000). Quality of Life: Erosions and Opportunities Under Managed Care. J Law Med Ethics 28: 144-158  
• Casalino, L. P. (1999). The Unintended Consequences of Measuring Quality on the Quality of Medical Care. NEJM 341: 1147-1150 [Full Text]  
• Sudre, P., Jacquemet, S., Uldry, C., Perneger, T. V (1999). Objectives, methods and content of patient education programmes for adults with asthma: systematic review of studies published between 1979 and 1998. Thorax 54: 681-687 [Abstract] [Full Text]  
• VITALE, M. G., KRANT, J. J., GELIJNS, A. C., HEITJAN, D. F., ARONS, R. R., BIGLIANI, L. U., FLATOW, E. L. (1999). Geographic Variations in the Rates of Operative Procedures Involving the Shoulder, Including Total Shoulder Replacement, Humeral Head Replacement, and Rotator Cuff Repair. JBJS 81: 763-72 [Abstract] [Full Text]  
• Blumenthal, D. (1996). The Origins of the Quality-of-Care Debate- Part Four of Six. NEJM 335: 1146-1149 [Full Text]