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

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

(p.195) 8 Geography and the Use of Effective Health Care in the United States
Health Care Issues in the United States and Japan

Jonathan Skinner

University of Chicago Press

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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