Journal article

How good is the quality of health care in the United States?

Schuster M, McGlynn E, Brook R ...see all

The Milbank quarterly, vol. 76, issue 4 (1998) pp. 517-63, 509

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Studies over the past decade show that 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; 60 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 out the areas in need of improvement.

Author-supplied keywords

  • Acute Disease
  • Acute Disease: therapy
  • Chronic Disease
  • Chronic Disease: therapy
  • Delivery of Health Care
  • Delivery of Health Care: standards
  • Delivery of Health Care: statistics & numerical da
  • Health Care Surveys
  • Health Services Misuse
  • Health Services Misuse: statistics & numerical dat
  • Humans
  • Preventive Health Services
  • Preventive Health Services: standards
  • Preventive Health Services: statistics & numerical
  • Quality Indicators, Health Care
  • Quality of Health Care
  • Quality of Health Care: classification
  • Quality of Health Care: statistics & numerical dat
  • United States
  • Utilization Review
  • Utilization Review: statistics & numerical data

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  • M A Schuster

  • E A McGlynn

  • R H Brook

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