The Standardization of Medicine

Wennberg, J. (2002). Unwarranted variations in healthcare delivery: implications for
academic medical centers. (Education and debate). British Medical Journal, 325(7370), 961-964.

Abstract

Professor Wennberg describes the not so uncommon variations that occur in the practice of medicine. He states that some of these differing practices are unjustifiable since no valid reason exists for these varying standards of care.
However, the professor does comment on areas in which practices justifiably diverge. Some healthcare providers institute methods proven effective in the literature they read. These practices do not compromise care and do not substitute for basic medical principles. They instead strengthen the quality of care. He also states that in particular cases, two equally-effective treatments might be available. The physician can then allow the patient to make the decision on his or her course of treatment.
Professor Wennberg also analyzes the phe...