For the first time, the Ministry of Social Affairs and Health has just published an “Atlas of variations in medical practices” which illustrates the different medical practices in the French departments.
This atlas, written by the Institute for Research and Documentation of Health (IRDES) focuses more particularly on 10 surgical interventions “selected because they are identified in the international literature as sensitive to the offer of care and because their management varies depending on the patient”.
The 10 surgical operations under a magnifying glass
– Hip fracture surgery
– THE’removal of tonsils
– Surgery appendicitis
– The cesarean
– The bariatric surgery obesity
– Surgery for benign prostate tumor
– Syndrome surgery carpal tunnel
– The ablation of gall bladder
– THE’removal of the uterus
– The installation of a knee prosthesis
– THE’thyroid removal.
Regional variations in medical practices can be observed in all countries. Organized in double-pages by intervention, this atlas makes it possible to compare the variations of practices according to the departments. For a cesarean for example, the rate varies from 12.9 per 100 births in Guadeloupe to 24.7 per 100 births in Haute-Corse. Or, for the ablation of the thyroid, the number of operations goes from 49 per 100,000 inhabitants in the North to 122 per 100,000 inhabitants in the Indre.
For the authors of this study, “understanding the causes of these variations and verifying their justification is now essential to ensure the quality, efficiency and equity of the care provided”.
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