Unwarranted clinical variation in health care: definitions and proposal of an analytic framework

K Sutherland, JF Levesque - Journal of evaluation in clinical …, 2020 - Wiley Online Library
Rationale, aims, and objectives Unwarranted clinical variation is a topic of heightened
interest in health care systems around the world. While there are many publications and …

Medical practice variations: what the literature tells us (or does not) about what are warranted and unwarranted variations

M Mercuri, A Gafni - Journal of evaluation in clinical practice, 2011 - Wiley Online Library
This paper examines the sources of practice variations and definitions of unwarranted
variation, as derived from the literature. The literature suggests variables/factors related to …

Framework for primary care organizations: the importance of a structural domain

W Hogg, M Rowan, G Russell… - … Journal for Quality in …, 2008 - academic.oup.com
Purpose Conceptual frameworks for primary care have evolved over the last 40 years, yet
little attention has been paid to the environmental, structural and organizational factors that …

Social network analysis in primary care: the impact of interactions on prescribing behaviour

G Fattore, F Frosini, D Salvatore, V Tozzi - Health policy, 2009 - Elsevier
OBJECTIVES: In many healthcare systems of affluent countries, general practitioners (GPs)
are encouraged to work in collaborative arrangements to increase patients' accessibility and …

Inappropriate Requesting of Glycated Hemoglobin (Hb A1c) Is Widespread: Assessment of Prevalence, Impact of National Guidance, and Practice-to-Practice …

OJ Driskell, D Holland, FW Hanna, PW Jones… - Clinical …, 2012 - academic.oup.com
BACKGROUND Estimates suggest that approximately 25% of requests for pathology tests
are unnecessary. Even in diabetes, for which international guidance provides recommended …

Meaningful variation in performance: a systematic literature review

V Fung, JA Schmittdiel, B Fireman, A Meer… - Medical care, 2010 - journals.lww.com
Background: Recommendations for directing quality improvement initiatives at particular
levels (eg, patients, physicians, provider groups) have been made on the basis of empirical …

Práticas de atenção hospitalar ao recém-nascido saudável no Brasil

MEL Moreira, SGN Gama, APE Pereira… - Cadernos de Saúde …, 2014 - SciELO Brasil
O objetivo do estudo foi avaliar o cuidado ao recém-nascido saudável a termo e identificar
variações nesse cuidado no atendimento ao parto e na primeira hora de vida. Utilizou-se a …

Emergency department patients who stay more than 6 hours contribute to crowding

PL Henneman, BH Nathanson, H Li… - The Journal of …, 2010 - Elsevier
Background: Admitted and discharged patients with prolonged emergency department (ED)
stays may contribute to crowding by utilizing beds and staff time that would otherwise be …

Prescribing style and variation in antibiotic prescriptions for sore throat: cross-sectional study across six countries

G Cordoba, V Siersma, B Lopez-Valcarcel, L Bjerrum… - BMC family …, 2015 - Springer
Background Variation in prescription of antibiotics in primary care can indicate poor clinical
practice that contributes to the increase of resistant strains. General Practitioners (GPs), as a …

Identification of overweight status is associated with higher rates of screening for comorbidities of overweight in pediatric primary care practice

KJ Dilley, LA Martin, C Sullivan, R Seshadri… - …, 2007 - publications.aap.org
OBJECTIVES. The goals were to determine whether primary care provider identification of
children as overweight was associated with additional screening or referrals and whether …