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Unwarranted variation in health care for children and young people
  1. C Ronny L H Cheung1,
  2. J A Muir Gray2
  1. 1Deptartment of Paediatrics, St Thomas’ Hospital, London, UK.
  2. 2NHS QIPP Right Care, Department of Health, London, UK
  1. Correspondence to Dr Ronny Cheung, Department of Paediatrics, St Thomas’ Hospital, London SE1 7EH, UK; crcheung{at}


The study of geographical variation in healthcare has moved on since J Allison Glover's seminal study in 1938, and its value in highlighting inequity in access, quality and outcomes is well-established. Study of variation in healthcare for children, however, has proven more difficult due to barriers with data and idiosyncrasies in how we measure outcomes for children and families. This paper is a narrative review of unwarranted variations in healthcare for children, and discusses the potential of variation analysis to help researchers and policy makers improve child health services.

  • Health services research
  • Outcomes research
  • Health Service
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