PMID: 11900083Mar 20, 2002Paper

Geographic variation in the use of medications: is uniformity good news or bad?

Health Affairs
Robert W DuboisSally Wade

Abstract

Studies have repeatedly found much geographic variation in use of surgical and diagnostic procedures. This study of the variability of medication use for specific conditions in eleven California regions finds surprisingly few differences among regions. The difference between the highest- and lowest-use areas was far less than we anticipated and amounted to only 30-40 percent for many drugs. We explore five potential explanations for low geographic variability: financial incentives, impact of managed care, study design elements, characteristics of California, and pharmaceutical marketing and education efforts. To determine whether these findings represent good or bad news will require further study.

References

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Mar 16, 2000·Health Affairs·R W DuboisS Wade

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Citations

Dec 23, 2008·Health Economics, Policy, and Law·Massimo FilippiniKarine Moschetti
Aug 9, 2006·Disease Management : DM·Robert W Dubois, Bonnie B Dean
Dec 1, 2012·BMC Health Services Research·Daniel KozmanG Caleb Alexander
Aug 2, 2005·Globalization and Health·John Wyn Owen, Olivia Roberts
Jan 22, 2013·Research in Social & Administrative Pharmacy : RSAP·Victoria Wangia, Theresa I Shireman
Sep 25, 2010·Gaceta sanitaria·Gabriel Sanfélix-GimenoUNKNOWN Grupo de Investigación en Utilización de Medicamentos en el Sistema Nacional de Salud (Grupo IUM-SNS) de la Comunidad Valenc
Feb 12, 2010·Revue des maladies respiratoires·A J Kone PefoyoM Rivard
Nov 20, 2004·Social Science & Medicine·Swu-Jane LinPatricia L Lurvey
Feb 16, 2008·Health Services Management Research : an Official Journal of the Association of University Programs in Health Administration·Jian Gao, James Campbell
Jan 9, 2008·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Heidi L WaldAndrew M Kramer
May 1, 2018·Frontiers in Pharmacology·Gabriel Sanfélix-GimenoClara L Rodríguez-Bernal

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