Physician behavior an underlying cause for health care cost

HANOVER, NH/WHITE RIVER JUNCTION, VT Physicians practicing in regions of the U.S. where health care spending is high are more likely to order tests, referrals and treatments for their patients than those in low spending regions, according to researchers at the VA Outcomes Group (White River Junction, Vermont) and Dartmouth Medical School (DMS). As new data emerges that health care spending has little relationship to health outcomes, these findings point to one reason behind the dramatic variation in the cost of health care across different regions in the U.S.

It is widely recognized that health care spending varies noticeably across the United States averaging less than $5000 per year for each Medicare beneficiary in Portland, Oregon, and over $10,000 in Miami, Florida. "What hasn't been clear," said the study's primary author, Dr. Brenda Sirovich, Staff Physician at the White River Junction VA Medical Center and assistant professor of medicine at DMS, "is whether spending is so different across various areas because the patients are different in other words, more or less sick or because the doctors are different. We did this study to find out whether it is in fact differences in doctors, and the decisions they make, that contribute to the large differences in spending that we see."

The study, appearing in the October 24 issue of Archives of Internal Medicine, measured the responses of 5490 primary care physicians to a survey in which they were presented with clinical scenarios and asked how often they would order a specific test, referral, or treatment for each patient described. Sirovich and colleagues used Medicare data to characterize spending in the region where each physician practiced, a figure that ranged from an average of $4911 per capita in the areas of lowest spending to $8325 in the highest spending areas.

The authors found that physicians who practice in areas of high spending do more they order more tests, referrals

Contact: Andy Nordhoff
Dartmouth Medical School

Page: 1 2

Related medicine news :

1. Test project of patient-centered medical home model endorsed by American College of Physicians
2. Physician and congressional leaders convene on Capitol Hill
3. Physician-researchers often less successful in obtaining NIH funding
4. High-Need Physician Workforce Incentives Act endorsed by American College of Physicians
5. American College of Physicians commends introduction of Bipartisan Health CARE Act
6. Physicians should be able to review performance rates before release
7. American College of Physicians releases new patient education resources
8. American College of Physicians commends MedPAC support for physician-directed care coordination
9. Physicians need to be advocates for prisoners health
10. Physicians enlisted in efforts to keep demented drivers off the road
11. Importance of personal health records draws support of American College of Physicians

Post Your Comments:

(Date:8/31/2020)... , ... August 31, 2020 , ... Want to get ... Cerebral Palsy Alliance Research Foundation (CPARF) is thrilled to launch its fourth annual STEPtember ... A fully virtual challenge, STEPtember meets everyone wherever they are at this moment — ...
(Date:8/31/2020)... ... 2020 , ... The pandemic and topsy-turvy economic outlook continues to put financial strain on many ... to trim the fat from our monthly expenses and put more into savings, if possible. ... you have a financial safety net in place in case something were to happen to ...
(Date:8/31/2020)... Conn. (PRWEB) , ... August 31, 2020 , ... ... device intended to improve outcomes for patients with advanced heart failure, today announced ... (SBIR) grant in the amount of $555,358 from the National Heart, Lung, and ...
(Date:8/28/2020)... , ... August 28, 2020 , ... ... one-year subscription to a customized Lighthouse Health & Wellness mobile app and web-portal. ... this project. Motorola Solutions Foundation awards grants each year to organizations, such as ...
(Date:8/28/2020)... ... August 28, 2020 , ... A July 27 article ... are at an increased risk of developing severe COVID-19 symptoms. The article does ... because the same organ systems that the coronavirus attacks are already suffering from ...
Breaking Medicine News(10 mins):
(Date:9/1/2020)... ... September 01, 2020 , ... ... to serve as Secretary to the Board of Trustees and committee chair of ... United Way is a Denver-based nonprofit organization that fights for the education, health, ...
(Date:8/31/2020)... ... ... in New York City you will always pay more for these two things: real estate ... demand, but are plastic surgeons in New York worth the premium prices that they charge? ... four-hour trip to have expert aesthetic treatments by some of the best doctors in the ...
(Date:8/28/2020)... LOS ANGELES (PRWEB) , ... August 28, 2020 ... ... of integrative medicine and aesthetic beauty, bringing a unique perspective and approach. Armed ... Toronto, Dr. Rahi ventured out to share her knowledge of the human body ...
Breaking Medicine Technology:
Cached News: