Study of the implications of increased diagnostic and therapeutic capacity in health care

The purpose of this project is a set of studies to address how increasing health system capacity influences the delivery of care and influences health outcomes. Two studies will be undertaken to examine the implications of greater diagnostic and therapeutic capacity, in order to understand whether--in some regions of the country, and/or among some populations--the United States is "beyond the flat of the curve" in terms of the volume of health care being delivered and its subsequent impact on health outcomes and perceptions of care. The first study will assess the clinical consequences and mortality associated with regional variations in neonatal capacity and the second study will evaluate the influence of hospital and physician supply, and greater resources on health care for the elderly. The project will examine the assumptions that more medical care means better medical care; that early diagnosis and prevention are always good for us; and that the treatment that follows diagnosis can only be beneficial. The research will investigate these assumptions and document variations in health care capacity, utilization and outcomes.

Grant Details

Amount Awarded $1,599,696.00

Awarded on: 10/23/1997

Time frame: 11/1/1997 - 10/31/2001

Grant Number: 32060


Dartmouth Medical School Center for the Evaluative Clinical Sciences

11 Rope Ferry Road
Hanover, 03755-1404


Elliott S. Fisher
Project Director