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医疗保健流行病学与不必要的差异:以以色列为例。

Medical care epidemiology and unwarranted variation: the Israeli case.

作者信息

Goodman David C, Goodman Andrew A

机构信息

The Geisel School of Medicine at Dartmouth, The Williamson Translational Research Building, The Dartmouth Institute for Health Policy and Clinical Improvement, Lebanon, 03756 NH USA.

Goodman Health Services, 65 Whitney Farms Rd, North Yarmouth, 04097 ME USA.

出版信息

Isr J Health Policy Res. 2017 Feb 20;6:9. doi: 10.1186/s13584-017-0135-6. eCollection 2017.

DOI:10.1186/s13584-017-0135-6
PMID:28239448
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5319107/
Abstract

In an article in this Journal, Mendlovic and colleagues report on regional variation in medical care across Israeli regions. This study joins a growing literature demonstrating generally high variation in the provision of health care services within developed countries. This commentary summarizes the status of medical care epidemiology and its studies of unwarranted variation in health care, and provides a conceptual framework to guide future studies. Recommendations are offered for advancing studies in Israel that could guide policy development and clinical improvement.

摘要

在本期刊的一篇文章中,门德洛维奇及其同事报告了以色列各地区医疗服务的区域差异。这项研究加入了越来越多的文献,这些文献表明发达国家在医疗服务提供方面普遍存在很大差异。本评论总结了医疗保健流行病学的现状及其对医疗保健中不必要差异的研究,并提供了一个概念框架来指导未来的研究。针对以色列推进相关研究提出了建议,这些研究可指导政策制定和临床改善。

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Medical care epidemiology and unwarranted variation: the Israeli case.医疗保健流行病学与不必要的差异:以以色列为例。
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Geographic variation in selected hospital procedures and services in the Israeli health care system.以色列医疗保健系统中特定医院程序和服务的地域差异。
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本文引用的文献

1
Geographic variation in selected hospital procedures and services in the Israeli health care system.以色列医疗保健系统中特定医院程序和服务的地域差异。
Isr J Health Policy Res. 2017 Jan 16;6:4. doi: 10.1186/s13584-016-0127-y. eCollection 2017.
2
Israel: Health System Review.以色列:卫生系统评估
Health Syst Transit. 2015;17(6):1-212.
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Health system characteristics and rates of readmission after acute myocardial infarction in the United States.美国急性心肌梗死后的卫生系统特征及再入院率
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4
A systematic review of medical practice variation in OECD countries.经合组织国家医疗实践差异的系统评价。
Health Policy. 2014 Jan;114(1):5-14. doi: 10.1016/j.healthpol.2013.08.002. Epub 2013 Aug 23.
5
Stop the silent misdiagnosis: patients' preferences matter.杜绝隐匿误诊:患者的偏好至关重要。
BMJ. 2012 Nov 8;345:e6572. doi: 10.1136/bmj.e6572.
6
Community healthcare in Israel: quality indicators 2007-2009.以色列社区医疗保健:2007-2009 年质量指标。
Isr J Health Policy Res. 2012 Jan 30;1(1):3. doi: 10.1186/2045-4015-1-3.
7
End-of-life care for Medicare beneficiaries with cancer is highly intensive overall and varies widely.总体而言,医疗保险受益人的癌症终末期护理强度很高,且差异很大。
Health Aff (Millwood). 2012 Apr;31(4):786-96. doi: 10.1377/hlthaff.2011.0650.
8
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Health Expect. 2011 Mar;14 Suppl 1(Suppl 1):1-5. doi: 10.1111/j.1369-7625.2010.00641.x.
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The Incidence of Tonsillectomy in School Children: (Section of Epidemiology and State Medicine).学龄儿童扁桃体切除术的发病率:(流行病学与国家医学部分)
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10
Unwarranted variation in pediatric medical care.儿科医疗中存在的不合理差异。
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