Improving Patient Decision-Making: East South Central Region

A 2012 Dartmouth Atlas Report

In this Dartmouth Atlas report, the fifth in a series of nine U.S. regional reports, we show the wide regional variation in the likelihood that patients with similar conditions receive elective procedures. This report highlights the East South Central region (Alabama, Kentucky, Mississippi, and Tennessee) and shows the variation across the region and the United States.

For patients whose conditions can be treated with elective surgery, location matters.  For example, if you have heart disease and live in Huntsville, Alabama, you are half as likely to undergo balloon angioplasty than if you live in Hattiesburg, Mississippi, and twice as likely to undergo back surgery than if you live in Lexington, Kentucky. If you have osteoarthritis of the knee and live in Fairhope, Alabama, you are three times more likely to have your knee replaced than if you live in Clarksdale, Mississippi. 

This report, a collaborative project with the Informed Medical Decisions Foundation, looks at the variation in surgical rates in 306 hospital referral regions across the United States (a hospital referral region is a large health care market containing at least one referral hospital).

Share this

Total knee replacement rate in Harlan, Ky., 3.3 per 1,000. In Bardstown, Ky., 13.8.