Addressing unwarranted clinical variation: A rapid review of current evidence

Journal of Evaluation in Clinical Practice
Reema HarrisonLiz Hay

Abstract

Unwarranted clinical variation (UCV) can be described as variation that can only be explained by differences in health system performance. There is a lack of clarity regarding how to define and identify UCV and, once identified, to determine whether it is sufficiently problematic to warrant action. As such, the implementation of systemic approaches to reducing UCV is challenging. A review of approaches to understand, identify, and address UCV was undertaken to determine how conceptual and theoretical frameworks currently attempt to define UCV, the approaches used to identify UCV, and the evidence of their effectiveness. Rapid evidence assessment (REA) methodology was used. A range of text words, synonyms, and subject headings were developed for the major concepts of unwarranted clinical variation, standards (and deviation from these standards), and health care environment. Two electronic databases (Medline and Pubmed) were searched from January 2006 to April 2017, in addition to hand searching of relevant journals, reference lists, and grey literature. Results were merged using reference-management software (Endnote) and duplicates removed. Inclusion criteria were independently applied to potentially relevant articles by 3 revi...Continue Reading

References

Apr 1, 1982·Scientific American·J Wennberg, A Gittelsohn
Mar 25, 2009·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Babu KunadianMark A de Belder
Jun 6, 2009·Health Information and Libraries Journal·Maria J Grant, Andrew Booth
Jul 23, 2009·Annals of Internal Medicine·David MoherUNKNOWN PRISMA Group
Aug 8, 2009·Pediatric Clinics of North America·David C Goodman
Oct 12, 2010·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Robin GauldAlan B Cohen
Mar 19, 2011·BMJ : British Medical Journal·John E Wennberg
Jul 17, 2012·The Medical Journal of Australia·Ian A Scott, Christopher B Del Mar
Jul 21, 2012·BMC Cancer·Simone Mathoulin-PélissierUNKNOWN Regional Aquitaine Group for Colorectal cancer GRACCOR
Apr 5, 2013·Scandinavian Journal of Public Health·Birgitte GraverholtMonica W Nortvedt
Sep 17, 2013·Health Policy·Enrique Bernal-DelgadoUNKNOWN Atlas VPM Group
Oct 1, 2013·Lancet·Peter McCullochMuir Gray
Mar 29, 2014·Journal of Nuclear Cardiology : Official Publication of the American Society of Nuclear Cardiology·David E WinchesterRebecca J Beyth
Jan 17, 2015·Health Services Management Research : an Official Journal of the Association of University Programs in Health Administration·Paul Giepmans, Olivia Dix
May 6, 2015·Health Affairs·Gregoire MercierJean Bousquet
Jul 1, 2015·Journal of Evaluation in Clinical Practice·Tracey VarkerMeaghan O'Donnell
Aug 14, 2015·The Medical Journal of Australia·Stephen J DuckettDanielle Romanes
Mar 5, 2016·Australian Health Review : a Publication of the Australian Hospital Association·Andrew PartingtonJonathan Karnon
Oct 19, 2016·Nature Reviews. Clinical Oncology·Muralee MenonDavid Kerr
Jul 10, 2016·American Journal of Surgery·Faiz GaniTimothy M Pawlik
Mar 16, 2017·Journal of the American Heart Association·Alex BottleUNKNOWN UK Aortic Forum

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Citations

Feb 7, 2020·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Peter HibbertJeffrey Braithwaite
May 29, 2019·Journal of Evaluation in Clinical Practice·Kim Sutherland, Jean-Frederic Levesque
May 30, 2020·Child: Care, Health and Development·Laurel MimmoReema Harrison
Jan 18, 2020·BMC Health Services Research·Reema HarrisonRu Kwedza
Jul 12, 2020·American Journal of Speech-language Pathology·Kendrea L Focht GarandPamela Dodrill
Feb 4, 2021·Psychiatric Services : a Journal of the American Psychiatric Association·Daniel J GottliebBrian Shiner
Nov 14, 2020·International Journal of Environmental Research and Public Health·Dylan A Mordaunt
May 4, 2021·British Journal of Community Nursing·Kerry CarmichaelTim Styche
Aug 5, 2021·Australasian Journal on Ageing·Megan JepsonUNKNOWN Evidence Translation in Allied Health (EviTAH Group)

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