Predicting the Appropriate Use of Carotid Endarterectomy, Upper Gastrointestinal Endoscopy, and Coronary Angiography

摘要: Abstract Background and Methods. In a nationally representative population 65 years of age or older, we have demonstrated that about one quarter coronary angiographies upper gastrointestinal endoscopies two thirds carotid endarterectomies were performed for reasons less than medically appropriate. this paper examine whether specific characteristics patients (age, sex, race), physicians board-certification status, experience with the procedure), hospitals (teaching profit-making size) predict procedure will be appropriately. Results. general, found little variability in appropriateness care (4 percent less) could explained on basis standard, easily obtainable data patient, physician, hospital. For all three procedures, however, performance teaching hospital increased likelihood would appropriate (P = 0.09 angiography,...