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: The Revolving Door: A Report on U.S. Hospital Readmissions. This report, posted February 11, 2013, shows that one in eight Medicare patients were readmitted to the hospital within 30 days of being released after surgery in 2010, while patients in the hospital for reasons other than surgery returned at an even higher rate of one in six. Both rates were virtually unchanged from 2008. The findings are based on new data that includes readmission rates for states, hospital referral regions, and more than 3,000 hospitals from the Dartmouth Atlas Project.
Improving Patient Decision-Making in Health Care. This series of nine reports, posted in November and December 2012, looks at the variation in surgical rates in the 306 hospital referral regions across the United States. Each report also highlights one of nine regions and shows the variation in "preference-sensitive" procedures that exists even across these smaller geographic regions. The reports reveal that, for conditions that can be treated with elective surgery, the treatment a patient receives depends more on the physician's recommendations than the patient's preferences.
What Kind of Physician Will You Be? Variation in Health Care and Its Importance for Residency Training, posted October 30, 2012, is part of a new effort to inform medical students about the patterns of care provided by teaching hospitals with residency training programs, and is intended to guide fourth-year medical students in ways to identify hospitals with exemplary practice patterns. The report uses new 2010 Medicare data to update previous reports on regional variation in the use of medical resources to treat patients at the end of life. It also documents trends in surgical procedures from 2008 to 2010, and examines quality of care metrics in regard to patient experience, patient safety, and processes of care.