Articles

Variations in healthcare remain

In Evidence-Based Medicine, Health industry on April 14, 2008 by Alan Lovell Tagged:

One would’ve thought by now, what with all these guidelines and systematic reviews and RCTs available, and evidence-based medicine being the buzzword heard everywhere (sometimes ad nauseum) that the variation in healthcare from region to region, hospital to hospital, would slowly become less and less. But, it ain’t so. The Dartmouth Atlas of Health Care has been tracking variation in health care in the US for over 20 years, and if anything the amount of variation is going up. Why? I have some of ideas, though I’m sure you have too. If you want a snappy, journalistic review of the latest report, take a look at the Boston Globe. Snippet below:

“It’s a really disappointing commentary on us all that these guys have been publishing this stuff forever, and it hasn’t had anywhere near the kind of impact you hope it would on what we do,” said Charles Baker, president of Harvard Pilgrim Health Care…

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