본문 바로가기 주메뉴 바로가기
22대 대한민국 국회 국회정보길라잡이 국회의원검색
회원가입 로그인
HOME

정보검색

소장정보 검색

국회도서관 홈으로 정보검색 소장정보 검색
결과 내 검색 동의어 포함
결과 내 검색 동의어 포함

-

초록보기



This paper critically reviews three decades of research on geographic variations in

health services utilization in the United States, thereby drawing policy and research

implications for Korea. The recent renewed interest in variations research in the United

States, precipitated by studies on regional variations in Medicare expenditures, stems

mainly from the policy implication that a substantial amount of Medicare expenditures

could be saved without compromising quality and access. From the research perspective,

this policy implication was made tenable by integrating micro- and macro-level analysis

of variations in health services utilization. Still, theoretical limitations inherent in the

research pose great challenges to developing effective strategies at the health system

level.

Variations research in the United States can serve as a case study as to how health

services research has responded to efficiency and quality issues in an ever expanding

health system. Considering the current health policy and research environment in Korea,

the following implications can be drawn. Variations research will help formulate a national policy agenda for health care quality and also advance the framework of

approaches to health policy issues. For such purposes, both relevant descriptive and

hypothesis-testing studies are needed. Further advancement in variations research will

require interdisciplinary explorations and methodological sophistication. To the extent that

Korean health policies will strive to achieve complex goals, variations research will

increasingly prove to be useful.

권호기사

권호기사 목록 테이블로 기사명, 저자명, 페이지, 원문, 기사목차 순으로 되어있습니다.
기사명 저자명 페이지 원문 목차
한 종합병원 구성원의 경영목표 지향성의 구조적 모형과 선호 경영성과지표 박재성 pp.50-74

병원의 조직문화와 조직구성원의 임파워먼트와의 관계 정순관, 전정님, 이은주 pp.28-49

미국의 지역간 의료이용의 변이 연구 : 비판적 검토와 함의 도영경 pp.94-124

한방의료의 건강보험 적정 본인부담률 추계 김진현, 유왕근, 서동민 pp.1-27

장기요양보호체계의 국가별 다양성 김철주, 홍성대, 허윤정 pp.75-93

참고문헌 (86건) : 자료제공( 네이버학술정보 )

참고문헌 목록에 대한 테이블로 번호, 참고문헌, 국회도서관 소장유무로 구성되어 있습니다.
번호 참고문헌 국회도서관 소장유무
1 (2006) 진료정보안내, 건강보험심사평가원 미소장
2 일부 다빈도 상병에서 입원진료비의 변이 정도와 요인에 대한 연구, 미소장
3 (2004) 일반외과 영역 다빈도 수술률의 소규모 지역간 변이, 미소장
4 (2006) 서울시 동별 상류계층(파워엘리트) 주거 분포와 흡연과의 관련, 미소장
5 제왕절개 분만율의 지역간 변이와 관련요인에 대한 연구, 미소장
6 (1999) 지역간 의료이용 변이지표의 통계학적 분포와 검정에 대한 연구, 미소장
7 (1999) 일부 다빈도 질환에서 의료기관 유형별 의약품 사용의 변이, 미소장
8 (1999) 의료이용의 지역간 격차 3차성 내과계 진단군을 중심으로, 미소장
9 제왕절개 분만율의 지역간 변이에 영향을 미치는 의료기관 특성요인 분석, 미소장
10 일부 다빈도 진단명들의 지역간 의료이용 변이, 미소장
11 편도적출술 및 아데노이드제거술과 충수절제술의 지역별 변이, 미소장
12 (2005) 한국적 특수성을 고려한 지역특성과 개인의 건강, 미소장
13 의사 특성에 따른 외래 진료내용의 변이, 미소장
14 소규모 지역간 의료이용의 차이에 관한 문헌고찰, 미소장
15 지역간 입원 비용 변이에 관한 연구, 미소장
16 A framework for the study of access to medical care. 네이버 미소장
17 (1999) Do market？]level hospital and physician resources affect small area variation in hospital use?, 미소장
18 (2004) Resurrecting treatment histories of dead patients A studydesign that should be laid to rest, 미소장
19 (1994) The variation phenomenon in 1994, 미소장
20 (1996) Quality of health care. Part 4: The origins of the quality？]of？]care debate, 미소장
21 (2005) Understanding health policy: A clinical approach. 4th ed, NY: McGraw？]Hill 미소장
22 (1984) Geographic variations in theuse of services, 미소장
23 (1992) Political evolution of federal health care regulation, 미소장
24 Cabana MD, (1999) Why don't physicians follow clinical practiceguidelines? A framework for improvement, 미소장
25 Carlsen F, (1998) More physicians: Improved availability or induced demand?, 미소장
26 Cleary PD, Edgman?]Levitan S, (1997) Health care quality, 미소장
27 Cleary PD, (1988) Patient satisfaction as an indicator of quality care, 미소장
28 (2006) Making sense of medical technology, 미소장
29 (1999) The geography of Medicare, 미소장
30 (2006) Variation in hospital length of stay Dophysicians adapt their length of stay decisions to what is usual in the hospital wherethey work?, 미소장
31 What is too much variation? The null hypothesis in small-area analysis. 네이버 미소장
32 (1992) area analysis detect variation insurgery rates? The power of small？], 미소장
33 Medical Care 네이버 미소장
34 (1999) Avoiding the unintended consequences of growth in medical care:How might more be worse?, 미소장
35 The Contents and the Application of"Motivation of Status Quo" 네이버 미소장
36 (2003b) The implications of regional variations in Medicare spending. Part 2: Health outcomes and satisfaction with care, 미소장
37 (2003) Health care quality, geographic variations, and the challenge of supply？]sensitive care, 미소장
38 (2000) Associations among hospital capacity and mortality of US medicare beneficiaries controlling for sociodemographic factors, 미소장
39 (2000) Why do physicians vary sowidely in their referral rates? , 미소장
40 (2001) Area differences in utilization of medical care and mortality among U.S. elderly, 미소장
41 (2006) To use technology better, 미소장
42 (1938) The incidence of tonsillectomy in school children, 미소장
43 (1990) Reins or fences A physician's view of cost containment, 미소장
44 (1984) Variations in medical practice, 미소장
45 (2004) Editor's note. Variations revisited, 미소장
46 (1997) Six challenges in measuring the quality of health care, 미소장
47 (2003) Report to the Congress Variation andinnovation in Medicare, Washington, DC: MedPAC 미소장
48 (2006) Health planning in the United States and the decline of public？]interest policymaking., 미소장
49 (2004) Modifying unwarranted variations in health care: Shared decision making using patient decision aids, 미소장
50 (20011987) Epidemiology and the delivery of health care services A review and analysis of the North American literature, Kluwer Academic Publishers 미소장
51 (1992) and intensity of services, HealthAdministration Press 미소장
52 (2000) Information diffusion and best practice adoption, The Netherlands: Elsevier 미소장
53 (1993) Variations in medical practice use Competitive approaches to health care reform, The Urban Institute Press 미소장
54 (2005) Understanding variation in quality ofantibiotic use for community？] Effect of patient , professional and hospital factors , 미소장
55 (2004) Policy support for patient？] The needfor measurable improvements in decision quality, centered care 미소장
56 (2006) Regional variations in health care intensityand physician perceptions of quality of care, 미소장
57 (1998) How much is enough? Efficiency and Medicare spending in the last six months of life, Cambridge, MA: National Bureau of Economic Research 미소장
58 (2001) The efficiency of Medicare, Cambridge, MA: National Bureau of Economic Research 미소장
59 (2006) Is technological change in medicine always worth it?The case of acute myocardial infarction, 미소장
60 (1997) Regional disparities in Medicare expenditures: An opportunity for reform, 미소장
61 (1991) Further issues in small area variations analysis, 미소장
62 (19931993) Evaluating the policy role of the small area variations and physician practice style hypotheses, 미소장
63 What factors explain the number of physical therapy treatment sessions in patients referred with low back pain; a multilevel analysis 네이버 미소장
64 (2006) Windows on health care: The faces of variations, 미소장
65 (2006) Medical subject headings (MeSH), 미소장
66 (2005) Variation in requests for imaging investigations by general practitioners: A multilevel analysis, 미소장
67 Verstappen WH, (2004) Variation in test ordering behaviour of GPs: Professional or context？]related factors?, 미소장
68 Wennberg JE, (1999) The quality of medical care in the United States: A report on the Medicare program. The Dartmouth Atlas of Health Care 1999, Chicago, IL:American Hospital Association Press 미소장
69 Wennberg J, (2004) Wrestling with variation: An interview with Jack Wennberg, 미소장
70 Gittelsohn A, (1973) Small area variations in health care delivery, 미소장
71 Wennberg JE, (1984) Dealing with medical practice variations A proposal for action, 미소장
72 Wennberg JE, (1990) and the fear of health care rationing, 미소장
73 Wennberg JE, (1993) Future directions for small area variations, 미소장
74 Wennberg JE, (2002) Unwarranted variations in healthcare delivery Implications for academic medical centres, 미소장
75 Wennberg JE, (1982) Professional uncertainty and the problem of supplierinduceddemand, 미소장
76 Wennberg JE, (1977) Changes in tonsillectomy ratesassociated with feedback and review, 미소장
77 Wennberg JE, (1980) The need for assessing the outcome of commonmedical practices, 미소장
78 Wennberg JE, (2004a) Geography and the debate over Medicare reform, Health Aff 미소장
79 Use of Medicare claims data to monitor provider-specific performance among patients with severe chronic illness. 네이버 미소장
80 Wennberg JE, (2004c) Use of hospitals and hospice care during last six months of life among cohorts loyalto highly respected hospitals in the United States, 미소장
81 ARE HOSPITAL SERVICES RATIONED IN NEW HAVEN OR OVER-UTILISED IN BOSTON? 네이버 미소장
82 Wennberg JE, (1989) Hospital use and mortality amongMedicare beneficiaries in Boston and New Haven, 미소장
83 (1984) Will payment based on diagnosis？], 미소장
84 (1999) Medical practice variations: Changing the theoretical, 미소장
85 (1999) Physicianenthusiasm as an explanation for area variation in the utilization of knee replacement surgery, 미소장
86 Multilevel models and health economics 네이버 미소장

추천서가 (다양한 추천 자료를 만나보세요)

권호기사보기

권호기사 목록 테이블로 기사명, 저자명, 페이지, 원문, 기사목차 순으로 되어있습니다.
기사명 저자명 페이지 원문 기사목차