Census Bureau's American Community Survey and The Dartmouth Atlas of Health Care
The Dartmouth Atlas of Health care
is a great example (Wennberg and Cooper 1999).
A Dartmouth Atlas of Health Care
Series, Dartmouth Institute for Health Policy and Clinical Practice, Hanover (NH).
The outcome measure and the region definition are established through the Dartmouth Atlas of Health Care
. Multilevel mixed-effects linear regression modeling is used to analyze the relationship between community benefit participation levels within a region and the region's ambulatory care sensitive condition prevalence.
Patients with chronic illnesses in their last two years of life account for about 32 percent of total Medicare spending, with much of that going for doctors and hospital fees tied to repeated hospitalizations, according to The Dartmouth Atlas of Health Care
of Lebanon, New Hampshire, which is supported by several groups, including the Robert Wood Johnson Foundation.
But as Brill could have confirmed with a few keystrokes, Medicare data maintained by the Dartmouth Atlas of Health Care
shows that New York-Presbyterian scores vary high on various measures of overtreatment.
These data are consistent with the series of publications from the Dartmouth Atlas of Health Care
started by Jack Wennberg that documents the high variability in treatment protocols, resources used, and costs of health care in different regions of the U.S.
The data were obtained from the database published by Dartmouth Atlas of Health Care
, which uses Medicare administrative data "to provide information and analysis about national, regional, and local markets." (39,40) The Dartmouth Atlas does not report data for the MA program.
Using Medicare Part D data from January 1, 2007 through December 31, 2009 (comprising 1.0-1.1 million patients per year), researchers examined geographic variation in antibiotic use among older adults in 306 Dartmouth Atlas of Health Care
hospital referral regions, 50 states and the District of Columbia, and four national regions (South, West, Midwest, and Northeast).
The Dartmouth atlas of health care
: Reflections on variations.
National Cancer End of Life Statistics (2003-2007) (10th-90th percentile) Hospitalized last month of life 61.3% (54.7%-65.6%) Cancer patients in ICU/CCU last 23.7% (14.6%-31.1%) month of life Dying in hospital 28.8% (20.1%-36.1%) Enrolled in hospice month before death 54.6% (42.8%-67.1%) Hospice days in final month of life 8.7 days (7.3-11.6) Cancer patients receiving chemotherapy 6% (4.1%-8.3%) last 2 weeks of life Cancer patients receiving life-sustaining 9.2% (5.6%-12.2%) procedure last month of life Cancer patients seeing more than 46.2% (28/4%-56.5%) 10 different 10 different final 6 months of life SOURCE: Dartmouth Atlas of Health Care
Executive Summary: The Dartmouth Atlas of Health Care