How Good Is the Quality of Health Care in the United States?
- 26 December 1998
- journal article
- research article
- Published by Wiley in The Milbank Quarterly
- Vol. 76 (4), 517-563
- https://doi.org/10.1111/1468-0009.00105
Abstract
Studies over the past decade show chat some people are receiving more care than they need, and some are receiving less. Simple averages from a number of studies indicate that 50 percent of people received recommended preventive care; 70 percent, recommended acute care; 30 percent, contraindicated acute care; GO percent, recommended chronic care; and 20 percent, contraindicated chronic care. These studies strongly suggest that the care delivered in the United States often does not meet professional standards. Efforts to measure quality and report routinely on the results to the public at large would allow more definitive assessments of the status of the nation's health care and would enable us to single our the areas in need of improvement.Keywords
This publication has 8 references indexed in Scilit:
- Unnecessary Prescribing of NSAIDs and the Management of NSAID-Related Gastropathy in Medical PracticeAnnals of Internal Medicine, 1997
- The Effects of Patient Volume and Level of Care at the Hospital of Birth on Neonatal MortalityJAMA, 1996
- The Appropriateness of Coronary Artery Bypass Graft Surgery in Academic Medical CentersAnnals of Internal Medicine, 1996
- Aspirin for Secondary Prevention after Acute Myocardial Infarction in the Elderly: Prescribed Use and OutcomesAnnals of Internal Medicine, 1996
- Process and Outcome of Care for Acute Myocardial Infarction among Medicare Beneficiaries in Connecticut: A Quality Improvement Demonstration ProjectAnnals of Internal Medicine, 1995
- The Fifth Report of the Joint National Committee on Detection, Evaluation, and Treatment of High Blood Pressure (JNC V)Archives of Internal Medicine, 1993
- Comparison of the Quality of Ambulatory Care for Fee-for-Service and Prepaid PatientsAnnals of Internal Medicine, 1991
- Preventable Deaths: Who, How Often, and Why?Annals of Internal Medicine, 1988