Journal of Clinical Epidemiology
Volume 52, Issue 4 , Pages 309-319 , April 1999

Understanding Variability in Physician Ratings of the Appropriateness of Coronary Angiography After Acute Myocardial Infarction

  • Mary Beth Landrum

      Affiliations

    • Department of Health Care Policy, Harvard Medical School, Boston, MA USA
    • Corresponding Author InformationAddress correspondence to: Mary Beth Landrum, Department of Health Care Policy, Harvard Medical School, 180 Longwood Avenue, Boston, MA 02115
    • ,
  • Barbara J. McNeil

      Affiliations

    • Department of Health Care Policy, Harvard Medical School, Boston, MA USA
    • Department of Radiology, Brigham and Women’s Hospital, Boston, MA USA
    • ,
  • Laurie Silva

      Affiliations

    • Department of Health Care Policy, Harvard Medical School, Boston, MA USA
    • ,
  • Sharon-Lise T. Normand

      Affiliations

    • Department of Health Care Policy, Harvard Medical School, Boston, MA USA
    • Department of Biostatistics, Harvard School of Public Health, Boston, MA USA

,Accepted 6 November 1998.

References 

  1. Wennberg J, Gittelsohn A. Variations in medical care among small areas. Sci Am. 1982;246:120–135
  2. Office of Research and Demonstrations, Health Care Financing Administration. Health Care Financing Administration, Special Report: Hospital Data by Geographic Area for Aged Medicare Beneficiaries: Selected Procedures, 1986. Washington DC: Health Care Financing Administration, US Dept of Health and Human Services; 1990.
  3. Udvarhelyi IS, Gatsonis CA, Epstein AM, Pashos CL, Newhouse JP, McNeil BJ. Acute myocardial infarction in the Medicare population (Process of care and clinical outcomes). JAMA. 1992;268:2530–2536
  4. Brook RH, Chassin MR, Fink A, Solomon DH, Kosecoff J, Park RE. A method for the detailed assessment of the appropriateness of medical technologies. Int J Technol Assess Health Care. 1986;2:53–63
  5. Bates DW, Miller E, Bernstein SJ, Hauptman PJ, Leape LL. Coronary angiography and angioplasty after acute myocardial infarction. Ann Intern Med. 1997;126:539–550
  6. Berstein SJ, McGlynn EA, Siu AL, Roth CP, Sherwood MJ, Keesey JW, et al.  The appropriateness of hysterectomy (A comparison of care in seven health plans). JAMA. 1993;269:2398–2402
  7. Bernstein SJ, Kosecoff J, Gray D, Hampton JR, Brook RH. The appropriateness of the use of cardiovascular procedures (British versus US perspectives). Int J Technol Assess Health Care. 1993;9:3–10
  8. Hilborne LH, Leape LL, Bernstein SJ, Park RE, Fiske ME, Kambery CJ, et al.  The appropriateness of use of percutaneous transluminal coronary angioplasty in New York State. JAMA. 1993;269:761–765
  9. Brook RH, Park RE, Chassin MR, Solomon DH, Keesey J, Kosecoff J. Predicting the appropriate use of carotid endarterectomy, upper gastrointestinal endoscopy, and coronary angiography. N Engl J Med. 1990;323:1173–1177
  10. Park RE, Fink A, Brook RH, Chassin MR, Kahn KL, Merrick NJ, et al.  Physician ratings of appropriate indications for six medical and surgical procedures. Am J Public Health. 1986;76:766–772
  11. Coulter I, Adams A, Shekelle P. Impact of varying panel membership on ratings of appropriateness in consensus panels (A comparison of multi- and single disciplinary panel). Health Serv Res. 1995;30:577–591
  12. Bernstein SJ, Laouri M, Hilborne LH, Leape LL, Kahan JP, Park RE, et al. Coronary Angiography: A Literature Review and Ratings of Appropriateness and Necessity. Santa Monica, CA; RAND Corporation; 1992.
  13. Gatsonis CA, Epstein AM, Newhouse JP, Normand SL, McNeil BJ. Variations in the utilization of coronary angiography for elderly patients with an acute myocardial infraction (An analysis using hierarchical logistic regression). Med Care. 1995;33:625–642
  14. Gilks WR, Thomas A, Spiegelhalter DJ. A language and program for complex Bayesian modeling. Statistician. 1994;43:169–178
  15. Landrum MB, Normand ST. Applying Bayesian ideas to the development of medical guidelines. Stat Med. 1999;18:117–137–
  16. Brook RH. The RAND/UCLA appropriateness method. In:  McCormick KA,  Moore SR,  Siegel RA editor. Methodology Perspectives. Rockville, MD: Public Health Service, US Department of Health and Human Services; 1994;
  17. Kahn KL, Park RE, Brook RH, Chassin MR, Kosecoff J, Fink A, et al.  The effect of comorbidity on appropriateness ratings for two gastrointestinal procedures. J Clin Epidemiol. 1988;41:115–122
  18. Leape LL, Park RE, Kahan JP, Brook RH. Group judgements of appropriateness (The effect of panel composition). Qual Assur Health Care. 1992;4:151–159
  19. Frazer SM, Pilpe D, Kosecoff J, Brook RH. Effect of panel composition on appropriateness ratings. Int J Qual Health Care. 1994;6:251–255
  20. Kahan JP, Park RE, Leape LL, Bernstein SJ, Hilborne LH, Parker L, et al.  Variations by specialty in physician ratings of the appropriateness and necessity of indications for procedures. Med Care. 1996;34:512–523

PII: S0895-4356(98)00166-8

Journal of Clinical Epidemiology
Volume 52, Issue 4 , Pages 309-319 , April 1999

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