Dataset Information

Geographic Variation in Quality of Care for Commercially Insured Patients.

ABSTRACT:

Background

Extensive evidence documents geographic variation in spending, but limited research assesses geographic variation in quality, particularly among commercially insured enrollees.

Objective

To measure geographic variation in quality measures, correlation among measures, and correlation between measures and spending for commercially insured enrollees.

Data source

Administrative claims from the 2007-2009 Truven MarketScan database.

Methods

We calculated variation in, and correlations among, 10 quality measures across 306 Hospital Referral Regions (HRRs), adjusting for beneficiary traits and sample size differences. Further, we created a quality index and correlated it with spending.

Results

The coefficient of variation of HRR-level performance ranged from 0.04 to 0.38. Correlations among quality measures generally ranged from 0.2 to 0.5. Quality was modestly positively related to spending.

Conclusion

Quality varied across HRRs and there was only a modest geographic "quality footprint."

SUBMITTER: McKellar MR

PROVIDER: S-EPMC5346491 | biostudies-literature | 2017 Apr

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Geographic Variation in Quality of Care for Commercially Insured Patients.

McKellar Michael Richard MR Landrum Mary Beth MB Gibson Teresa B TB Landon Bruce E BE Fendrick A Mark AM Chernew Michael E ME

Health services research 20160503 2

<h4>Background</h4>Extensive evidence documents geographic variation in spending, but limited research assesses geographic variation in quality, particularly among commercially insured enrollees.<h4>Objective</h4>To measure geographic variation in quality measures, correlation among measures, and correlation between measures and spending for commercially insured enrollees.<h4>Data source</h4>Administrative claims from the 2007-2009 Truven MarketScan database.<h4>Methods</h4>We calculated variati ...[more]

PMID: 27140721

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Dataset Information

Geographic Variation in Quality of Care for Commercially Insured Patients.

Background

Objective

Data source

Methods

Results

Conclusion

Publications

Geographic Variation in Quality of Care for Commercially Insured Patients.

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