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This Dartmouth Atlas report shows the variation in pediatric care across the hospital service areas of Northern New England, reflecting the care provided by local physicians and hospitals. The population included in the report is children and infants less than 18 years of age represented in the All Payer Claims Databases of Maine, New Hampshire, and Vermont for the period from 2007 through 2010. Seven domains of health care are reported: the physician workforce, ambulatory care, effective care, hospitalization, common surgical procedures, diagnostic imaging, and outpatient pharmacy prescription fills.
The nine regional Atlases provide the data and analysis for specific hospital service areas with which these and other questions can be addressed. Strategies to address the question of the appropriate levels of supply must be developed in the absence of detailed understanding of the nature of health care needs, medical care outcomes, and what patients want. One such strategy begins by examining individual communities and comparing them to others. Such comparisons lead naturally to a search for "efficiently" operated health plans or communities--those with an adequate but not excessive supply of resources.
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