¶ … Small Area Variation
Small Area Studies based
The small areas studies deliver a number of useful comparison for studying the effectiveness and efficiency of alternative method that can be employed in delivering healthcare. The small area studies are centered on a large Medicare on the cardiology treatment at Elyria in Ohio, and some researchers have applied the approach in delivering care. In August 2006, total patients at Ohio Medicare were 55,953 based on 2000 census, and 31 cardiologists "performed the 3,400 angioplasties in 2004." (McLaughlin, & McLaughlin, 2014 p 205). In 2003, the Elyria rate "was 42 angioplasties per 1000 Medicare enrollees compared to" 11.3 nationwide and 13.5 for all Ohio. (McLaughlin, & McLaughlin, 2014 p 205).
In Elyria, cardiologist heavily rely on angioplasty, and one of the effects of Elyria methodology is that it provides a solid evidence for quality healthcare for patients. In the United States, both the bypass surgery and angioplasties are enhancing profitability within the healthcare sector, which assist in lowering the payment rates. The Elyria Community Hospital has applied this technique for the Medicare treatment where Medicare payment for angioplasty is capped for $11,000, and the costs for bypass operation is up to $25,000.
At Elyria, the cardiologist is paid $2,200 for a bypass surgery, and $800 for the angioplasty. The surgeon at Cleveland Clinic who carried out the bypass surgery in Elyria are based in Cleveland Clinic,...
As a result, more small town police departments today have access to online resources and law enforcement networks. Not surprisingly, these innovations have provided small town police departments with access to the same level of online resources as their larger urban counterparts. For instance, a seminal study by Wasby (1975) found that there was a lack of communication of important Supreme Court decisions to small town police departments. The
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