The Dartmouth Atlas of Health Care


Book Description

The nine regional Atlases provide the data and analysis for specific hospital service areas with which these and other questions can be addressed. Strategies to address the question of the appropriate levels of supply must be developed in the absence of detailed understanding of the nature of health care needs, medical care outcomes, and what patients want. One such strategy begins by examining individual communities and comparing them to others. Such comparisons lead naturally to a search for "efficiently" operated health plans or communities--those with an adequate but not excessive supply of resources.










The Dartmouth Atlas of Health Care 1998


Book Description

Describes American health care resources and how they are used, as well as a detailed description of the physician workforce in the U.S.




Our Parents, Ourselves


Book Description

"Our Parents, Ourselves is the best presentation of our aging, and of general healthcare issues that I have ever seen. Tremendously important."—Henrik Blum, M.D., MPH, Professor Emeritus, School of Public Health, University of California, Berkeley "This book could well transform how we as a country address aging and caregiving for generations to come."—Lynn Friss Feinberg, MSW, Deputy Director, National Center on Caregiving at Family Caregiver Alliance "Turiel's book can help elders and their families find humane care in our often inhumane and uncaring health care system."— Steffi Woolhandler, co-founder of Physicians for a National Health Program




The Dartmouth Atlas of Health Care


Book Description

This short Atlas report updated measures of Medicare expenditures, end-of-life care, readmission rates, and the quality of ambulatory care using 2018 Medicare claims data. There are some hopeful signs in the trends; inflation adjusted Medicare expenditures per enrollee were relatively constant--one of the few cases in health care where expenditures per person have not grown--while the influence of "outlier" regions such as Miami and McAllen, Texas has diminished. Readmission rates have declined, while quality measures have risen. Despite these aggregate improvements, however, changes over time in expenditures, readmission rates, and quality of care continue to exhibit wide variation, with little change in the interquartile ranges (the ratio of spending and other measures between the 75th to the 25th percentile HRR). Furthermore, the averages mask considerable geographic variability in changes over time. In some regions, for example, rates of mammography rose, while in others they fell. Documenting these changes over time is essential for providers and policymakers to understand whether their efforts to reduce expenditures and improve quality have been successful; a more difficult question is why some regions improved so much, while others did not.




GIS Automated Delineation of Hospital Service Areas


Book Description

Hospital service areas (HSAs) and hospital referral regions (HRRs) are considered more appropriate units than geopolitical units for analyzing the performance of health care markets and policy implementation. GIS Automated Delineation of Hospital Service Areas represents the state-of-the-art approach in delineating HSAs and HRRs by using GIS-automated processes. It provides the best practices for defining such areas scientifically, in a geographically accurate manner, and without a steep learning curve. This book is intended to mainly serve professionals in geography, urban and regional planning, public health, and related fields. It is also useful for scholars in the above fields who have research interests related to GIS and spatial analysis applications in health care. It can be used as a supplemental text for upper-level undergraduate and graduate students in courses related to GIS and public health. Features: Introduces innovative state-of-the-art methods for delineation of HSAs (Dartmouth method, Huff model, network community detection methods) Provides best practices and one-stop solution for related data processing tasks (e.g., distance and travel time estimation, identifying the best-fitting distance decay function) Automates the methods in ArcGIS Pro toolkits Includes free ready-to-download GIS tools and sample data available on authors’ website Presents a methodology that is applicable to delineation of other service areas, catchment areas or functional regions for business analysis, planning, and public policy studies







New Frontiers in Healthcare


Book Description