Delivering Quality to Patients

dc.contributor.authorFinlayson, Samuel R. G.
dc.description.abstractIN 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.
dc.identifier.citationFinlayson, Samuel R. G. (2006) Delivering Quality to Patients. JAMA, 296 (16). pp. 2026-2027.
dc.identifier.otherEprint ID 632
dc.subjectHealth Equity
dc.subjectAccess To Healthcare
dc.subjecthigh-volume hospitals
dc.subjectethnic minorities
dc.subjectpoorly insured patients
dc.subjectbarriers to access
dc.subjectoperative risk
dc.titleDelivering Quality to Patients