Minority Health Archive

Delivering Quality to Patients

Finlayson, Samuel R. G. (2006) Delivering Quality to Patients. JAMA, 296 (16). pp. 2026-2027.

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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.

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Item Type: Article
Additional Information: Access to full text is subject to the publisher's access restrictions.
Uncontrolled Keywords: high-volume hospitals, ethnic minorities, poorly insured patients, barriers to access, operative risk
Subjects: Health > Health Equity
Health > Health Equity > Access To Healthcare
Health > Disparities
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Depositing User: Users 141 not found.
Date Deposited: 02 Apr 2011
Last Modified: 19 May 2011 15:41
Link to this item (URI): http://health-equity.lib.umd.edu/id/eprint/632

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