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Variation in the use of echocardiography.
Lucas, F L; Wennberg, D E; Malenka, D J.
Afiliación
  • Lucas FL; Maine Medical Center, Portland, USA. lucasl@mail.mmc.org
Eff Clin Pract ; 2(2): 71-5, 1999.
Article en En | MEDLINE | ID: mdl-10538479
CONTEXT: Geographic variation in population-based rates of invasive cardiac procedures has been described. However, little is known about variation in rates of noninvasive testing for cardiovascular disease. Echocardiography is the second most common cardiac diagnostic procedure. PRACTICE PATTERN EXAMINED: Population-based rates of echocardiography, adjusted for age, sex, and race, in the United States. DATA SOURCE: 5% sample of Medicare Part B. RESULTS: 1 in 10 Medicare beneficiaries underwent echocardiography in 1995. Rates of echocardiography varied by state from 5% in Oregon to 15% in Michigan. Rates tended to be lowest in the Northern Great Plains, the Pacific Northwest, and the Rocky Mountains states. Among the 25 largest metropolitan areas, substantial variation was also apparent. For example, one fourth of Medicare beneficiaries in Miami, Florida, received echocardiography, and this proportion was more than four times greater than that seen in Seattle, Washington. CONCLUSION: The likelihood of Medicare beneficiaries having echocardiography is influenced by where they live.
Asunto(s)
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Pautas de la Práctica en Medicina / Ecocardiografía / Enfermedades Cardiovasculares Tipo de estudio: Prognostic_studies Límite: Humans País/Región como asunto: America do norte Idioma: En Revista: Eff Clin Pract Asunto de la revista: SERVICOS DE SAUDE Año: 1999 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Pautas de la Práctica en Medicina / Ecocardiografía / Enfermedades Cardiovasculares Tipo de estudio: Prognostic_studies Límite: Humans País/Región como asunto: America do norte Idioma: En Revista: Eff Clin Pract Asunto de la revista: SERVICOS DE SAUDE Año: 1999 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos