Exhibit 180 · Peer-reviewed cohort study
The implications of regional variations in Medicare spending. Part 1: the content, quality, and accessibility of care
patients in higher-spending regions received approximately 60% more care
Medicare patients hospitalized in 1993–1995 for hip fracture, colorectal cancer or acute myocardial infarction, and a survey sample, had similar baseline health across regions. Patients in higher-spending regions received about 60 percent more care, chiefly more inpatient visits and consultations, tests, minor procedures, specialist care and hospital and intensive-care days. Quality was no better on most measures and worse for several preventive measures, and access was no better or worse.
- Source
- Fisher et al., Annals of Internal Medicine 138(4):273–287
- Date
- 18 February 2003
- Quoted from
- Abstract, Results (Ann Intern Med 138(4):273-287)
- Grade
- Peer-reviewed
- Document
- https://doi.org/10.7326/0003-4819-138-4-200302180-00006
- Accessed
- 2026-11-09
- Cited by
- Findings citing this exhibit