Reporting of research data from the Dartmouth Atlas Project takes several forms. We have produced twenty book-length editions of The Dartmouth Atlas of Health Care; several brief reports covering specific topics and/or clinical subject areas; and a number of issue briefs on relevant health policy topics. Atlas investigators also have an extensive bibliography of scientific articles published in peer-reviewed journals. Please use the links on the right to locate our publications.
Recently released: Variation in the Care of Surgical Conditions: Obesity. This report discusses the growing problem of obesity in the U.S. population and shows different approaches to its treatment over time and by region. It focuses on
the surgical treatment of obesity, including the decision to use surgery, the technical quality of surgical care, and patient outcomes. The trends and regional variation presented in this report reflect a combination of factors: the rise of obesity rates; the development of new therapies, particularly less invasive and more effective surgical techniques; and evolving policies related to safety and insurance coverage. Most importantly, regional variation raises questions about a lack of consensus within the medical community regarding the use of bariatric surgery and the role of patients in making fully informed decisions about their care. And finally, while progress has been made in understanding the best ways to limit obesity using surgical and medical approaches, areas in need of further improvement are highlighted.
The Dartmouth Atlas of Children's Health Care in Northern New England. The Dartmouth Atlas has produced the first report showing the patterns of care received by nearly the entire population of infants and children in Northern New England for ambulatory physician services, hospitalization, common surgery, imaging, and outpatient prescription fills. The findings from this report show marked variation in care across the region; while there are many examples of excellent care, the findings raise troubling questions about whether the medical practice patterns reflect the care that infants and children need and that their families want.