The Handle of the Broom

Abstract

was one of the first to document significant practice variation in clinical care in a study on the incidence of tonsillectomy in school-age children in the United Kingdom in 1938. 1 Since that time, there have been a number of studies linking clinical care practice variation with higher costs of care, 2,3 and in many cases, these studies show that greater health-care expenditures do not necessarily