Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Variations in surgery in Ontario.

H Stockwell, E Vayda

    Medical Care
    |April 1, 1979
    PubMed
    Summary
    This summary is machine-generated.

    Surgical procedure rates varied significantly across Ontario counties in 1974. Resource availability, particularly hospital beds and physicians, explained over half this variation, suggesting a need for practice rationalization.

    Related Concept Videos

    You might also read

    Related Articles

    Articles linked to this work by shared authors, journal, and citation graph.

    Sort by
    Same author

    Prepaid group practice in the United States.

    Canadian family physician Medecin de famille canadien·2010
    Same author

    Social class and emergency department utilization.

    Canadian family physician Medecin de famille canadien·2010
    Same author

    Prepaid group practice combines personal health care services, good organization.

    Canadian Medical Association journal·2010
    Same author

    The Sault experience.

    Canadian Medical Association journal·2010
    Same author

    The community health foundation of Cleveland.

    Bulletin of the New York Academy of Medicine·2009
    Same author

    Integrative approach to the treatment of postherpetic neuralgia: a case series.

    Alternative medicine review : a journal of clinical therapeutic·1999
    Same journal

    Hepatitis C Virus Cascade of Care in Florida Emergency Departments.

    Medical care·2026
    Same journal

    Association of Neighborhood Socioeconomic Disadvantage and Uptake of Diabetes Prevention Interventions.

    Medical care·2026
    Same journal

    Machine Learning for Evaluating the Heterogeneous Effects of Intensive In-Hospital Rehabilitation During the Postacute Phase After Hip Fracture Surgery on Activities of Daily Living.

    Medical care·2026
    Same journal

    Hospital-Physician Integration and Differences in the Use of Orthopedic Care Across Race and Ethnicity.

    Medical care·2026
    Same journal

    Temporal Misalignment and Selection Bias in "Burn Pit Smoke Exposure and Sleep Apnea in US Veterans.

    Medical care·2026
    Same journal

    The Impact of an Oncology Hospital at Home Program on Health Care Costs.

    Medical care·2026
    See all related articles

    Area of Science:

    • Health Services Research
    • Surgical Outcomes
    • Healthcare Policy

    Background:

    • Significant geographic variation in surgical procedure rates was observed in Ontario in 1974.
    • Five common procedures (tonsillectomy, colectomy, hysterectomy, cholecystectomy, appendectomy) exhibited five-to eight-fold frequency differences across 49 counties.

    Purpose of the Study:

    • To investigate the factors contributing to the wide variation in rates of specific surgical procedures across Ontario counties.
    • To identify potential strategies for rationalizing surgical practices and improving healthcare resource allocation.

    Main Methods:

    • Analysis of 1974 surgical procedure data across Ontario's 49 counties.
    • Correlation of surgical rates with healthcare resource availability, including acute care beds and physician numbers.

    Related Experiment Videos

  • Comparison of rates between rural and urban/university teaching center settings.

    • Main Results:

    • Over 50% of the variation in surgical rates was explained by the number of acute care beds and physicians.
    • Counties with high rates for one procedure generally had high rates for others, and vice versa.
    • University teaching centers had the lowest rates despite higher resource ratios, while less populous rural eastern counties had the highest rates.

    Conclusions:

    • Surgical procedure frequency is resource-sensitive, with significant unexplained variation.
    • Proposed interventions include inter-center linkages, data dissemination, and surgical audits to rationalize practices.
    • Addressing geographic disparities in surgical rates is crucial for equitable healthcare delivery.