Atlas of Variations in Medical Practice in Spain: The Spanish National Health Service under scrutiny

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• 作者：Enrique Bernal-Delgado ; S ; ra Garc铆a-Armesto ; Salvador Peir贸 ; On behalf of the Atlas VPM Group
• 关键词：Geographic variations in medical practice ; Health system performance assessment ; Spanish Atlas of Variations in Medical Practice ; Spain
• 刊名：Health Policy
• 出版年：January, 2014
• 年：2014
• 卷：114
• 期：1
• 页码：15-30
• 全文大小：3923 K

文摘

Early in the 2000s, a countrywide health services research initiative was launched under the acronym of Atlas VPM: Atlas of Variations in Medical Practice in the Spanish National Health System. This initiative aimed at describing systematic and unwarranted variations in medical practice at geographic level-building upon the seminal experience of the Dartmouth Atlas of Health Care.

The paper aims at explaining the Spanish Atlas experience, built upon the pioneer Dartmouth inspiration. A few selected examples will be used along the following sections to illustrate the outlined conceptual framework, the different factors that may affect variation, and some methodological challenges.