Practice pattern variation between two medical schools

Kathleen N. Gillespie, James C. Romeis, Kathy S. Virgo, James Fletcher, Anne Elixhauser

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

This study examined physician test-ordering behavior at a large urban Veterans Administration Medical Center staffed by two medical schools. Patients are assigned randomly to the two schools’ wards, which operate independently of each other. The medical records of 119 patients, admitted during a 5-month period, were abstracted for data on the process and outcomes of medical care. Only one statistically significant difference in diagnostic testing practices was revealed by the observation that 12% of patients on one service received another abdominal film, while no patients on the other service did. The implications of studies such as this for small-area analysis are discussed. If variation in the utilization of health services is observed in a geographic region, then a study of physician behavior at a single facility may help to identify the reason for the variation.

Original languageEnglish (US)
Pages (from-to)537-542
Number of pages6
JournalMedical Care
Volume27
Issue number5
StatePublished - 1989
Externally publishedYes

Fingerprint

Medical Schools
physician
school
medical care
diagnostic
health service
Small-Area Analysis
utilization
Physicians
United States Department of Veterans Affairs
Motion Pictures
Health Services
Medical Records

Keywords

  • Diagnostic tests
  • Practice pattern variation
  • Small area analysis

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Nursing(all)
  • Health(social science)
  • Health Professions(all)

Cite this

Gillespie, K. N., Romeis, J. C., Virgo, K. S., Fletcher, J., & Elixhauser, A. (1989). Practice pattern variation between two medical schools. Medical Care, 27(5), 537-542.

Practice pattern variation between two medical schools. / Gillespie, Kathleen N.; Romeis, James C.; Virgo, Kathy S.; Fletcher, James; Elixhauser, Anne.

In: Medical Care, Vol. 27, No. 5, 1989, p. 537-542.

Research output: Contribution to journalArticle

Gillespie, KN, Romeis, JC, Virgo, KS, Fletcher, J & Elixhauser, A 1989, 'Practice pattern variation between two medical schools', Medical Care, vol. 27, no. 5, pp. 537-542.
Gillespie KN, Romeis JC, Virgo KS, Fletcher J, Elixhauser A. Practice pattern variation between two medical schools. Medical Care. 1989;27(5):537-542.
Gillespie, Kathleen N. ; Romeis, James C. ; Virgo, Kathy S. ; Fletcher, James ; Elixhauser, Anne. / Practice pattern variation between two medical schools. In: Medical Care. 1989 ; Vol. 27, No. 5. pp. 537-542.
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