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Health Care Issues in the United States and Japan$
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David A. Wise and Naohiro Yashiro

Print publication date: 2006

Print ISBN-13: 9780226902920

Published to Chicago Scholarship Online: February 2013

DOI: 10.7208/chicago/9780226903248.001.0001

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PRINTED FROM CHICAGO SCHOLARSHIP ONLINE (www.chicago.universitypressscholarship.com). (c) Copyright University of Chicago Press, 2020. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in CHSO for personal use.date: 07 June 2020

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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