John E Wennberg
Dados Biográficos
| ID | 1736432 |
|---|---|
| NOME | John E Wennberg |
| PRENOMES | John E |
| SOBRENOME | Wennberg |
| ASSINATURA | WENNBERG J E |
| AFILIAÇÕES | Dartmouth College |
| VERIFICADO | Não |
| TOTAL DE OBRAS | 11 |
| TOTAL DE CITAÇÕES | 82 |
| TOTAL COMO AUTOR | 11 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 1973 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2002 |
| ÍNDICE H | 2 |
Finding High Quality, Efficient Providers for Value Purchasing
From the *Center for Evaluative Clinical Sciences, and the † VA Outcomes Group, Department of Veterans Affairs Medical Center, Dartmouth Medical School, Hanover, New Hampshire. Address correspondence and reprint requests to: John E. Wennberg, MD, MPH, Director, Center for the Evaluative Clinical Sciences, Dartmouth Medical School, 7251 Strasenburgh, Hanover, NH 03755-3863. E-mail: [email protected]
Patient Reactions to a Program Designed to Facilitate Patient Participation in Treatment Decisions for Benign Prostatic Hyperplasia
Patients often want considerable information about their conditions, and enhanced patient participation might reduce unwanted practice variation and improve medical decisions. The authors assessed how men with benign prostatic hyperplasia reacted to an education program designed to facilitate participation in decisionmaking, and how strongly ratings of their symptom state and the prospect of complications predicted their treatment choice. A prosp…
Future Directions for Small Area Variations
From the Center for the Evaluative Clinical Sciences, Dartmouth Medical School, Hanover, New Hampshire. Address correspondence to: John E. Wennberg, MD, Dartmouth Medical School, Center for the Evaluative Clinical Sciences, Strasenburgh Hall, Room 332, Hanover, NH 03755-3863. sive description of the health care delivery system, i.e., the types and quantities of resources deployed, such as the numbers of hospital beds and physicians per capita; th…
Risk of carotid endarterectomy in the elderly
We used the Medicare claims files to describe operative mortality for 2,089 New England residents over the age of 65 who underwent carotid endarterectomy in 1984 and 1985. For patients ages 65 to 69, the risk of death within 30 days of surgery was 1.1 percent, (95% confidence interval = 0.5, 2.1), for those ages 70 to 74, 2.8 percent (1.7, 4.4), for those ages 75 to 79, 3.2 percent (1.8, 5.2), and for those over age 80, 4.7 percent (2.3, 8.5). Ne…
Population Illness Rates Do Not Explain Population Hospitalization Rates
costs, government, business, and insurers are striving to decrease health care utilization. At the same time, many Americans lack adequate access to health care services. In this charged atmosphere, Mark Blumberg's concer about the appropriate application of epidemiologic research to health policy1 is both legitimate and important. I share with Dr. Blumberg the fundamental goal of bringing the scientific method to bear on available data to better…
Commentary
Dealing With Medical Practice Variations
Prologue: Without much attention from the profession and virtually no public fanfare, John Wennberg has been tracking the phenomenon of variations in the use of medical care for more than a decade. Wennberg, who ranks among the leaders of the nations tiny cadre of medical care epidemiologists, has been driven by the notion that practice variations were important to identify and understand because they suggest a misuse of care. Wennberg trained at…
Variations in Medical Care among Small Areas
Small-Area Variations in the Use of Common Surgical Procedures
We examined the incidence of seven common surgical procedures in seven hospital service areas in southern Norway, in 21 districts in the West Midlands of the United Kingdom, and in the 18 most heavily populated hospital service areas in Vermont, Maine, and Rhode Island. Although surgical rates were higher in the New England states than in the United Kingdom or Norway, there was no greater degree of variability in the rates of surgery among the se…
Professional uncertainty and the problem of supplier-induced demand
Small Area Variations in Health Care Delivery
Health information about total populations is a prerequisite for sound decision-making and planning in the health care field. Experience with a population-based health data system in Vermont reveals that there are wide variations in resource input, utilization of services, and expenditures among neighboring communities. Results show prima facie inequalities in the input of resources that are associated with income transfer from areas of lower exp…
Professional uncertainty and the problem of supplier-induced demand
Risk of carotid endarterectomy in the elderly
We used the Medicare claims files to describe operative mortality for 2,089 New England residents over the age of 65 who underwent carotid endarterectomy in 1984 and 1985. For patients ages 65 to 69, the risk of death within 30 days of surgery was 1.1 percent, (95% confidence interval = 0.5, 2.1), for those ages 70 to 74, 2.8 percent (1.7, 4.4), for those ages 75 to 79, 3.2 percent (1.8, 5.2), and for those over age 80, 4.7 percent (2.3, 8.5). Ne…
Small Area Variations in Health Care Delivery
Health information about total populations is a prerequisite for sound decision-making and planning in the health care field. Experience with a population-based health data system in Vermont reveals that there are wide variations in resource input, utilization of services, and expenditures among neighboring communities. Results show prima facie inequalities in the input of resources that are associated with income transfer from areas of lower exp…
Variations in Medical Care among Small Areas
Small-Area Variations in the Use of Common Surgical Procedures
We examined the incidence of seven common surgical procedures in seven hospital service areas in southern Norway, in 21 districts in the West Midlands of the United Kingdom, and in the 18 most heavily populated hospital service areas in Vermont, Maine, and Rhode Island. Although surgical rates were higher in the New England states than in the United Kingdom or Norway, there was no greater degree of variability in the rates of surgery among the se…
Professional uncertainty and the problem of supplier-induced demand
Dealing With Medical Practice Variations
Prologue: Without much attention from the profession and virtually no public fanfare, John Wennberg has been tracking the phenomenon of variations in the use of medical care for more than a decade. Wennberg, who ranks among the leaders of the nations tiny cadre of medical care epidemiologists, has been driven by the notion that practice variations were important to identify and understand because they suggest a misuse of care. Wennberg trained at…
Commentary
Population Illness Rates Do Not Explain Population Hospitalization Rates
costs, government, business, and insurers are striving to decrease health care utilization. At the same time, many Americans lack adequate access to health care services. In this charged atmosphere, Mark Blumberg's concer about the appropriate application of epidemiologic research to health policy1 is both legitimate and important. I share with Dr. Blumberg the fundamental goal of bringing the scientific method to bear on available data to better…
Risk of carotid endarterectomy in the elderly
We used the Medicare claims files to describe operative mortality for 2,089 New England residents over the age of 65 who underwent carotid endarterectomy in 1984 and 1985. For patients ages 65 to 69, the risk of death within 30 days of surgery was 1.1 percent, (95% confidence interval = 0.5, 2.1), for those ages 70 to 74, 2.8 percent (1.7, 4.4), for those ages 75 to 79, 3.2 percent (1.8, 5.2), and for those over age 80, 4.7 percent (2.3, 8.5). Ne…
Future Directions for Small Area Variations
From the Center for the Evaluative Clinical Sciences, Dartmouth Medical School, Hanover, New Hampshire. Address correspondence to: John E. Wennberg, MD, Dartmouth Medical School, Center for the Evaluative Clinical Sciences, Strasenburgh Hall, Room 332, Hanover, NH 03755-3863. sive description of the health care delivery system, i.e., the types and quantities of resources deployed, such as the numbers of hospital beds and physicians per capita; th…
Patient Reactions to a Program Designed to Facilitate Patient Participation in Treatment Decisions for Benign Prostatic Hyperplasia
Patients often want considerable information about their conditions, and enhanced patient participation might reduce unwanted practice variation and improve medical decisions. The authors assessed how men with benign prostatic hyperplasia reacted to an education program designed to facilitate participation in decisionmaking, and how strongly ratings of their symptom state and the prospect of complications predicted their treatment choice. A prosp…
Finding High Quality, Efficient Providers for Value Purchasing
From the *Center for Evaluative Clinical Sciences, and the † VA Outcomes Group, Department of Veterans Affairs Medical Center, Dartmouth Medical School, Hanover, New Hampshire. Address correspondence and reprint requests to: John E. Wennberg, MD, MPH, Director, Center for the Evaluative Clinical Sciences, Dartmouth Medical School, 7251 Strasenburgh, Hanover, NH 03755-3863. E-mail: [email protected]
Medicine (10 obras) · Healthcare Policy and Management (8 obras) · Primary Care and Health Outcomes (6 obras) · Business (5 obras) · Environmental health (5 obras) · Population (5 obras) · Computer Science (4 obras) · Economics (4 obras) · Health care (4 obras) · Nursing (4 obras)