This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Arndt, M. Articles by Golec, J. Search for Related Content PubMed PubMed Citation Articles by Arndt, M. Articles by Golec, J. Social Bookmarking                   What's this?

Indications for Hysterectomy: Variation within and Across Hospitals

Clark University

Robert C. Bradbury

Clark University

Joseph Golec

Clark University

This study investigates the factors associated with the probability of finding specific clinical indicators (benign or malignant tumor, cancer in situfibroid, abscess/empyema, or positive culture of salpinx,fallopian tubefetus, or uterus) that validate necessity for hysterectomy. Data for the4,660 cases in the study come from 42 Pennsylvania hospitals. The probability that validating indicators were present varied significantly at the hospital level but not at the level of individual surgeons within hospital, suggesting that physicians in different hospitals adopted different practice styles. The results at the hospital level indicate that higher hysterectomy volume increased the probability of validating findings, whereas presence of an OB/GYN program was associated with lower probability of validating findings. The policy and management implications of these results are discussed.

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    What's this?

This article has been cited by other articles:

				G. P. Westert and P. P. Groenewegen Medical practice variations: changing the theoretical approach Scand J Public Health, July 1, 1999; 27(3): 173 - 180. [Abstract] [PDF]