Chapter

Geography and the Use of Effective Health Care in the United States

Jonathan Skinner

in Health Care Issues in the United States and Japan

Published by University of Chicago Press

Published in print November 2006 | ISBN: 9780226902920
Published online February 2013 | e-ISBN: 9780226903248 | DOI: http://dx.doi.org/10.7208/chicago/9780226903248.003.0009
Geography and the Use of Effective Health Care in the United States

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This chapter describes the variation in medical practice patterns across geographic regions of the United States. There appears to be a missing link between the potentially large benefits of effective care for heart attack patients and financial incentives to pay for them. At least in Georgia, the use of beta-blockers in a community is not positively linked with the presence of a medical school. Atlanta and Macon display beta-blocker use well below the state average. The supply of cardiologists appears to be weakly connected with the use of beta-blockers, but not with an average of four quality measures. Regions with a higher prevalence of cardiovascular disease are more likely to adopt the use of beta-blockers and to experience higher average rates of effective care for acute myocardial infarction.

Keywords: medical practice patterns; acute myocardial infarction; financial incentives; Georgia; Atlanta; Macon; beta-blockers

Chapter.  5744 words.  Illustrated.

Subjects: Public Economics

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