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

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

Chapter:
(p.195) 8 Geography and the Use of Effective Health Care in the United States
Source:
Health Care Issues in the United States and Japan
Author(s):
Jonathan Skinner
Publisher:
University of Chicago Press
DOI:10.7208/chicago/9780226903248.003.0009

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

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