We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
The appropriateness of hysterectomy. A comparison of care in seven health plans. Health Maintenance Organization Quality of Care Consortium.
- Authors
Bernstein SJ; McGlynn EA; Siu AL; Roth CP; Sherwood MJ; Keesey JW; Kosecoff J; Hicks NR; Brook RH; Bernstein, S J; McGlynn, E A; Siu, A L; Roth, C P; Sherwood, M J; Keesey, J W; Kosecoff, J; Hicks, N R; Brook, R H
- Abstract
<bold>Objective: </bold>To develop and test a method for comparing the appropriateness of hysterectomy use in different health plans.<bold>Design: </bold>Retrospective cohort study.<bold>Setting: </bold>Seven managed care organizations.<bold>Patients: </bold>Random sample of all nonemergency, non-oncological hysterectomies performed in the seven managed care organizations over a 1-year period. Patients who were not continuously enrolled in a plan for 2 years prior to their hysterectomy were excluded.<bold>Main Outcome Measures: </bold>Proportion of women undergoing hysterectomy in each plan for inappropriate clinical reasons according to ratings derived from a panel of managed care physicians.<bold>Results: </bold>Overall, about 16% of women underwent hysterectomy for reasons judged to be clinically inappropriate. Only one plan had significantly more hysterectomies rated inappropriate compared with the group mean (27%, unadjusted). Adjusting for age and race did not affect the rankings of the plans and had little effect on the numeric results.<bold>Conclusion: </bold>The rates of inappropriate use of hysterectomies are similar to those for other procedures and vary to a small degree among health plans. This information may be useful to purchasers when they consider which health plans to offer their employees.
- Publication
JAMA: Journal of the American Medical Association, 1993, Vol 269, Issue 18, p2398
- ISSN
0098-7484
- Publication type
journal article
- DOI
10.1001/jama.269.18.2398