Abstract

Abstract : Unwarranted clinical practice variation is a well documented detractor from positive clinical outcomes. A challenge exists, however, in differentiating appropriate practice variation from unwarranted practice variation. Unwarranted practice variation can be defined as illogical deviation from clinical practice norms that do not support evidence-based medicine or patient desires. Employing a unit of analysis of the U.S. Army healthcare system and utilizing research by Wennberg and the Institute of Medicine, a model describing healthcare quality in terms of unwarranted practice variation and healthcare outcomes is posited as a framework for future investigation and study. Study limitations and recommendations for further study are discussed.

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