Delivering Quality to Patients
Delivering Quality to Patients
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Date
2006
Authors
Advisor
Citation
Finlayson, Samuel R. G. (2006) Delivering Quality to Patients. JAMA, 296 (16). pp. 2026-2027.
DRUM DOI
Abstract
IN THIS ISSUE OF JAMA, LIU AND COLLEAGUES1 REPORT THAT for several surgical procedures, a disproportionately small number of ethnic minorities and poorly insured patients receive care in high-volume hospitals, where quality of care is assumed to be superior. The authors suggest that there is a need for explicit measures to address this disparity. Although intuitively appealing, the authors’ observations and suggestions implicitly embrace 2 assumptions that deserve closer scrutiny: (1) ethnic minority and poorly insured patients would want to go to high-volume hospitals if they knew the benefits and could overcome barriers to access, and (2) volume-based referral policies are a good way to improve surgical quality.