Within-country variation: US data Within-country variation: US data The Dartmouth Atlas  Examines variations of care for Medicare beneficiaries with severe chronic illness in the last 2 years of life  Focuses on supply-sensitive care  Provides data for a variety of delivery settings including inpatient, outpatient, hospice, and home health  Characterized by misuse, overuse and underuse of health care resources  Wide variance in the care delivered in US hospitals as measured by clinical outcomes, quality measures, costs, and resource utilization rates
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