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John D. Birkmeyer, MD

Adjunct Professor of The Dartmouth Institute

The Dartmouth Institute

Boston College, BA 1985
Harvard Medical School, MD 1989

The Dartmouth Institute for Health Policy and Clinical Practice

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Dr. Birkmeyer's current work is examining the role of clinical performance and patient preferences in decisions to regionalize major surgery. Using pancreatic surgery as a prototype, the goal is to develop a generalizable, three-component model for evaluating the expected value of different regionalization strategies: 1) volume-outcome study based on large administrative databases, 2) quantitative assessment of patient preferences for location of care, and 3) decision analysis and cost-effectiveness analysis incorporating clinical performance and patient preference data.

Selected Publications:


  • Birkmeyer JD, Finlayson SRG, Tosteson ANA, Sharp SM, Warshaw AL, Fisher ES. The effect of hospital volume on in-hospital mortality with Whipple procedures. Surgery 1999;125:250-6.

  • Birkmeyer JD, Birkmeyer NJO. Decision analysis in surgery. Surgery 1996;120:7-15.

  • Birkmeyer JD. Should we regionalize major surgery? Potential benefits and policy considerations. J Am Coll Surg 2000;190:341-9.