Regional medical practice variation in high-cost healthcare services

High-cost users of Ontario's healthcare services.

Approximately 1.5% of ontario's population, represented by the top 5% highest cost-incurring users of ontario's hospital and home care services, account for 61% of hospital and home care costs. Similar studies from other jurisdictions also show that a relatively small number of people use a high proportion of health system resources. Understanding these high-cost users (hcus) can inform local h...

Regional variation in total cost per radical prostatectomy in the healthcare cost and utilization project nationwide inpatient sample database.

PURPOSE Surgical treatment for prostate cancer represents a large national health care expenditure. We determined whether state level variation in the cost of radical prostatectomy exists and whether we could explain this variation by adjusting for covariates associated with cost. MATERIALS AND METHODS Using the 2004 Healthcare Cost and Utilization Project National Inpatient Sample of 7,978,0...

Cost-effectiveness of midwifery services vs. medical services in Quebec

Cost-effectiveness of midwifery services vs. medical services in Quebec

Variation in use of high-cost diabetes mellitus medications in the VA healthcare system.

1. Iglehart JK. Health insurers and medical-imaging policy—a work in progress. N Engl J Med. 2009;360(10):1030-1037. 2. Redberg RF. Cancer risks and radiation exposure from computed tomographic scans: how can we be sure that the benefits outweigh the risks? Arch Intern Med. 2009;169(22):2049-2050. 3. Stern RG. Diagnostic imaging: powerful, indispensable, and out of control. Am J Med. 2012;125(2...