United States

Journal Articles


Hoxha I, Braha M, Syrogiannouli L, et al. Caesarean section in uninsured women in the USA: systematic review and meta-analysis. BMJ Open. 2019.

Goodman DC, Ganduglia-Cazaban C, Franzini L, et al. Neonatal Intensive Care Variation in Medicaid-Insured Newborns: A Population-Based Study. Journal of Pediatrics. 2019.


Fisher ES, Shortell SM, Savitz LA. Implementation Science: A Potential Catalyst for Delivery System Reform. JAMA. 2016.

Bekelman JE, Halpern SD, Blankart C, et al. Comparison of Site of Death, Health Care Utilization, and Hospital Expenditures for Patients Dying With Cancer in 7 Developed Countries. JAMA. 2016.


Beck AF, Florin TA, Campanella S, Shah SS. Geographic variation in hospitilization for lower respiratory tract infections across one county. JAMA Pediatrics. 2015.

Kaushal R, Edwards A, Kern LM. Association between electronic health records and health care utilization. Applied Clinical Informatics. 2015.

Ho T, Dukhovny D, Zupancic JA, et al. Choosing wisely in newborn medicine: five opportunities to increase value. Pediatrics. 2015.

Zarkowsky DS, Hicks CW, Arhuidese I, et al. Quality Improvement Targets for Regional Variation in Surgical End-Stage Renal Disease Care. JAMA Surgery. 2015.

Ralston SL, Harrison W, Wasserman J, Goodman DC. Hospital Variation in Health Care Utilization by Children With Medical Complexity. Pediatrics. 2015.

Harrison W, Goodman DC. Epidemiologic Trends in Neonatal Intensive Care, 2007-2012. JAMA Pediatrics. 2015. 

Forsberg HH, Nelson EC, Reid R, et al. Using patient-reported outcomes in routine practice: three novel use cases and implications. Journal Ambulatory Care Manage. 2015.

Colla CH, Morden NE, Sequist TD, et al. Choosing Wisely: Prevalence and Correlates of Low-Value Health Care Services in the United States. Journal General Internal Medicine. 2015.


Franzini L, White C, Taychakhoonavudh S, Parikh R, et al. Variation in inpatient hospital prices and outpatient service quantities drive geographic differences in private spending in Texas. Health Services Research 2014.

Smieliauskas F, MacMahon H, Salgia R, Shih Y-CT. Geographic Variation in Radiologist Capacity and Widespread Implementation of Lung Cancer CT Screening. Journal of Medical Screening. 2014.

Brooks G. A, Li L, Uno H, et al. Acute hospital care is the chief driver of regional spending variation in Medicare patients with advanced cancer. Health Affairs (Millwood). 2014.

Stopka TJ, Krawczyk C, Gradziel P, Geraghty EM. Use of spatial epidemiology and hot spot analysis to target women eligible for prenatal women, infants and children services. American Journal Public Health. 2014 .

Lewis VA, Colla CH, Schpero WL, Shortell SM, Fisher ES. ACO contracting with private and public payers: a baseline comparative analysis. American Journal Management Care. 2014. 

Fisher ES, Corrigan J. Accountable Health Communities: Getting There From Here. JAMA. 2014.

Colla CH, Goodney PP, Lewis VA, et al. Implementation of a Pilot Accountable Care Organization Payment Model and the Use of Discretionary and Nondiscretionary Cardiovascular Care. Circulation. 2014.

Yasaitis LC, Bubolz T, Skinner JS, Chandra A. Local population characteristics and hemoglobin A1c testing rates among diabetic Medicare beneficiaries. PLoS One. 2014.

Bekelis K, Fisher ES, Labropoulos N, Zhou W, Skinner J. Variations in the Intensive Use of Head CT for Elderly Patients with Hemorrhagic Stroke. Radiology. 2014. 

Brooke BS, Kraiss LW, Stone DH, et al. Improving outcomes for diabetic patients undergoing revascularization for critical limb ischemia: does the quality of outpatient diabetic care matter?. Annals Vascular Surgery. 2014

Colla CH, Schpero WL, Gottlieb DJ, et al. Tracking Spending Among Commercially Insured Beneficiaries Using a Distributed Data Model. American Journal Management Care. 2014.

Morden NE, Munson JC, Colla CH, et al. Prescription opioid use among disabled medicare beneficiaries: intensity, trends, and regional variation. Medical Care. 2014.

Weinstein SJ, House SA, Chang CH, et al. Small Geographic Area Variations in Prescription Drug Use. Pediatrics. 2014.

Colla CH, Fisher ES. Beyond PCMHs and Accountable Care Organizations: Payment Reform That Encourages Customized Care. Journal General Internal Medicine. 2014. 

Brooke BS, Stone DH, Cronenwett JL, et al. Early primary care provider follow-up and readmission after high-risk surgery. JAMA Surgery. 2014. 

Brown JR, Chang CH, Zhou W, et al. Health system characteristics and rates of readmission after acute myocardial infarction in the United States. Journal American Heart Association. 2014.

Wennberg DE, Sharp SM, Bevan G, et al. A population health approach to reducing observational intensity bias in health risk adjustment: Cross sectional analysis of insurance claims. BMJ. 2014.

Bekelis K, Roberts DW, Zhou W, Skinner JS. Fragmentation of Care and the Use of Head Computed Tomography in Patients With Ischemic Stroke. Cardiovascular Quality & Outcomes. 2014.

Brown JR, Sox HC, Goodman DC. Financial incentives to improve quality: skating to the puck or avoiding the penalty box?. JAMA. 2014.

Corallo AN, Croxford R, Goodman DC, et al. A systematic review of medical practice variation in OECD countries. Health Policy 2014.

Wennberg JE. Forty years of unwarranted variation–and still counting. Health Policy. 2014.

Goodney PP, Travis LL, Brooke BS, et al. Relationship between regional spending on vascular care and amputation rate. JAMA Surgery. 2014.


White R, Geraghty E, Brunson A, et al. High Variation between Hospitals in Vena Cava Filter Use for Venous Thromboembolism.” JAMA Internal Medicine. 2013.

Nyweide DJ, Anthony DL, Bynum JP, et al. Continuity of care and the risk of preventable hospitalization in older adults. JAMA Internal Medicine. 2013.

Lewis VA, Colla CH, Carluzzo KL, Kler SE, Fisher ES. Accountable care organizations in the United States: market and demographic factors associated with formation. Health Services Research. 2013.

Goodman DC, Robertson RG. Accelerating Physician Workforce Transformation Through Competitive Graduate Medical Education Funding. Health Affairs. 2013.

Birkmeyer JD, Reames BN, McCulloch P, Carr AJ, Campbell WB, Wennberg JE. Understanding of regional variation in the use of surgery. Lancet. 2013.

Likosky DS, Zhou W, Malenka DJ, et al. Growth in Medicare Expenditures for Patients With Acute Myocardial Infarction: A Comparison of 1998 Through 1999 and 2008. JAMA Internal Medicine. 2013. 

Grande SW, Durand MA, Fisher ES, Elwyn G. Physicians as part of the solution? Community-based participatory research as a way to get shared decision making into practice. Journal General Internal Medicine. 2014.

Morden NE, Schwartz LM, Fisher ES, Woloshin S. Accountable prescribing. New England Journal of Medicine. 2013.

Yasaitis LC, Bynum JP, Skinner JS. Association between physician supply, local practice norms, and outpatient visit rates. Medical Care. 2013.

Lewis VA, McClurg AB, Smith J, Fisher ES, Bynum JP. Attributing patients to accountable care organizations: performance year approach aligns stakeholders’ interests. Health Affairs. 2013.

Wennberg JE, Staiger DO, Sharp SM, et al. Observational intensity bias associated with illness adjustment: cross sectional analysis of insurance claims. BMJ. 2013.

Teno JM, Gozalo PL, Bynum JPW, et al. Change in End-of-Life Care for Medicare Beneficiaries Site of Death, Place of Care, and Health Care Transitions in 2000, 2005, and 2009. JAMA. 2013.

Goodney PP, Holman K, Henke PK, Travis LL, Dimick JB, Stukel TA, Fisher ES, Birkmeyer JD. Regional intensity of vascular care and lower extremity amputation rates. Journal of Vascular Surgery. 2013.

Goodney PP, Brooke BS, Wallaert J, Travis L, et al. Thoracic endovascular aneurysm repair, race, and volume in thoracic aneurysm repair. Journal of Vascular Surgery. 2013.


Epstein A. J, Polsky D, Yang F, et al. Geographic variation in implantable cardioverter-defibrillator use and heart failure survival. Medical Care. 2012.

McDonald DC, Carlson K, Izrael D. Geographic variation in opioid prescribing in the U.S. Journal of Pain. 2012.

Donohue JM, Morden NE, Gellad WF et al. Sources of regional variation in Medicare Part D drug spending. New England Journal of Medicine. 2012.


Bell, John-Erik. Leung, Brian C. Spratt, Kevin F. et al. Trends and variation in incidence, surgical treatment, and repeat surgery of proximal humeral fractures in the elderly. Journal of Bone & Joint Surgery – American Volume. 2011.

Welch, H Gilbert. Sharp, Sandra M. Gottlieb, Dan J. et al. Geographic variation in diagnosis frequency and risk of death among Medicare beneficiaries. JAMA. 2011.


Amico, Peter. Aran, Christian. Avila, Carlos. HIV spending as a share of total health expenditure: an analysis of regional variation in a multi-country study. PLoS ONE. 2010.

Finegan, Michael S. Gao, Jian. Pasquale, Donald. Campbell, James. Trends and geographic variation of potentially avoidable hospitalizations in the veterans health-care system. Health Services Management Research. 2010.

Goodney, Philip P. Travis, Lori L. Malenka, David. Bronner, et al. Regional variation in carotid artery stenting and endarterectomy in the Medicare population. Circulation. Cardiovascular Quality & Outcomes. 2010.

Hudspeth MP, Hill TN, Lewis JA, et al. Post-hematopoietic stem cell transplant immunization practices in the Pediatric Blood and Marrow Transplant Consortium. Pediatric Blood & Cancer, 2010;54(7):970-975.

Johnson, Pamela Jo. Call, Kathleen Thiede. Blewett, Lynn A. The importance of geographic data aggregation in assessing disparities in American Indian prenatal care. American Journal of Public Health. 2010.

Katz SJ, Hawley ST, Abrahamse P, et al. Does it matter where you go for breast surgery?: attending surgeon’s influence on variation in receipt of mastectomy for breast cancer. Medical Care. 2010.

Keenan PS, Cleary PD, O’Malley AJ. et al. Geographic area variations in the Medicare health plan era. Medical Care. 2010.

Lucas, Frances Lee. Sirovich, Brenda E. et al. Variation in cardiologists’ propensity to test and treat: is it associated with regional variation in utilization? Circulation. Cardiovascular Quality & Outcomes. 2010.

Makarov, Danil V. Loeb, Stacy. Landman, et al. Regional variation in total cost per radical prostatectomy in the healthcare cost and utilization project nationwide inpatient sample database. Journal of Urology. 2010.

Matlock, Dan D. Peterson, Pamela N. et al. Regional variations in palliative care: do cardiologists follow guidelines? Journal of Palliative Medicine. 2010.

Mulley AG Jr., Wennberg JE. Reducing Unwarranted Variation in Clinical Practice by Supporting Clinicians and Patients in Decision Making. In: Gigerenzer G and Gray M, eds. Better Doctors, Better Patients, Better Decisions: Envisioning Health Care in 2020. Cambridge: MIT Press 2010. (In Press)

O’Hare, Ann M. Rodriguez, Rudolph A. et al. Regional variation in health care intensity and treatment practices for end-stage renal disease in older adults. JAMA. 2010.


Anthony, Denise L. Herndon, M Brooke, et al. How much do patients’ preferences contribute to resource use? Health Affairs. 2009.

Baicker, Katherine. Chandra, Amitabh. A trillion-dollar geography lesson. Health Affairs. 2009.

Chen, Li-Wu. Zhang, Wanqing. Sun, Junfeng. Mueller, Keith J. The magnitude, variation, and determinants of rural hospital resource utilization associated with hospitalizations due to ambulatory care sensitive conditions. Journal of Public Health Management & Practice. 2009.

FitzGerald, John D. Boscardin, W John. Ettner, Susan L. Changes in regional variation of Medicare home health care utilization and service mix for patients undergoing major orthopedic procedures in response to changes in reimbursement policy. Health Services Research. 2009.

Fisher, Elliott S. Bynum, Julie P. Skinner, Jonathan S. Slowing the growth of health care costs–lessons from regional variation. New England Journal of Medicine. 2009.

Goodman DC. Unwarranted Variation in Pediatric Medical Care. Pediatric Clinics of North America. 2009.

Magner, David. Mirocha, James. Gewertz, Bruce L. Regional variation in the utilization of carotid endarterectomy. Journal of Vascular Surgery. 2009.

Mulley AG. Inconvenient truths about supplier induced demand and unwarranted variation in medical practice. BMJ 2009.

Wales McCann E, Baines EA, et al. Improving Service Delivery by Evaluation of the Referral Pattern and Capacity in a Clinical Genetics Setting. Am J Med Genet Part C Semin Med Genet. 2009


Bynum J, Bernal E, Gottlieb D, Fisher ES. Assigning Ambulatory Patients and their Physicians to Hospitals: A Method for Obtaining Population-Based Hospital Performance Measurement. Health Services Research. 2007.

Stukel TA, Fisher ES, Wennberg DE, et al. Analysis of observational studies in the presence of treatment selection bias: effects of invasive cardiac management on AMI survival using propensity score and instrumental variable methods. JAMA. 2007.


Baicker, K. Buckles, K.S. Chandra, A. Geographic variation in the appropriate use of cesarean delivery. Health Affairs. 2006.


Linton A, Peterson MR, Williams TV, et al. Clinical case mix adjustment of cesarean delivery rates in U.S. military hospitals, 2002. Obstetrics & Gynecology. 2005.

Stukel TA, Lucas FL, Wennberg DE. Long-term outcomes of regional variations in intensity of invasive vs. medical management of Medicare patients with acute myocardial infarction. JAMA. 2005.

Tempest, V., Higgs, G., McDonald, K., et al. A pilot study of spatial patterns in referrals to a multicentre cancer genetics service. Community Genetics. 2005.


Dartmouth Atlas of Health Care Project


Dartmouth Atlas Reports 1996 – 2020