登入
選單
返回
Google圖書搜尋
Trends and Regional Variation in Hip, Knee, and Shoulder Replacement
Elliott S. Fisher
John-Erik Bell
Ivan M. Tomek
Amos R. Esty
David C. Goodman (MD)
其他書名
A Dartmouth Atlas Surgery Report
出版
Dartmouth Institute for Health Policy and Clinical Practice
, 2010
URL
http://books.google.com.hk/books?id=f0qzzwEACAAJ&hl=&source=gbs_api
註釋
From 2000-01 to 2005-06, rates of hip, knee, and shoulder replacement all rose substantially among Medicare beneficiaries, and there was widespread variation in the use of these procedures across geographic regions and by race. The Dartmouth Atlas Project has detailed similar variation in the use of other elective procedures. One possible interpretation of this variation is that the decision to undergo the procedure may be influenced more by physician judgments than by the preferences and values of the individual patients. Another explanation might be that patients in some geographical areas do not have adequate access to joint replacement. These findings highlight the need for improved physician and patient education and the use of shared decision-making to determine whether a patient should undergo joint replacement.
