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Regional variation in coronary angiography rates: the association with supply factors and the role of indication: a spatial analysis.


ABSTRACT:

Background

Coronary angiographies (CAs) are among the most common diagnostic procedures carried out in German hospitals, and substantial regional differences in their frequency of use have been documented. Given the heterogeneity with regard to the expected benefits and the varying scope for discretion depending on the indication for the procedure, we hypothesized that the observed variation and the association of need and supply factors differs by indication for CA.

Methods

We investigated the correlation between supply factors and the regional rates of CAs in Germany while controlling for need using spatial-autoregressive error models (SARE) and spatial cross-regressive models with autoregressive errors (SCRARE). The overall rates of CAs and the rates in specific patient s

SUBMITTER: Frank-Tewaag J 

PROVIDER: S-EPMC8882285 | biostudies-literature | 2022 Feb

REPOSITORIES: biostudies-literature