What question did this study set out to answer?

This analysis examines the differences in surgical procedure rates and hospitalizations between Boston and New Haven residents.

November 13, 1987JAMA

The Paradox of Appropriate Care

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Analysis shows significant differences in hospitalization and surgical rates between two similar populations, indicating care discrepancies.

This analysis examines the differences in surgical procedure rates and hospitalizations between Boston and New Haven residents.
Comparison of surgical procedure rates such as carotid endarterectomy and coronary bypass between Boston and New Haven.
Analysis of hospitalization rates for various conditions including back pain and diabetes.
Assessment of medical expenditures for Medicare across both populations.
Boston residents have higher rates of carotid endarterectomy and knee replacements compared to New Haven residents.
New Haven residents experience higher rates of hysterectomies and back surgeries.
Medicare expenditures were $2647 per enrollee for Boston versus $1561 for New Haven in 1982.

John E. Wennberg (1987) studied this question.

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Analysis shows significant differences in hospitalization and surgical rates between two similar populations, indicating care discrepancies.