To the Editor: In their analysis of hospital
quality ratings for acute myocardial infarction (AMI) by HealthGrades.com,
Dr Krumholz and colleagues1 noted wide variation
in performance among hospitals with the same ratings. Because the ratings
had limited ability to discriminate performance between individual hospitals,
the authors concluded that the rating system is not helpful for consumers
to make informed choices about where to receive care. We disagree with this
conclusion. Although such ratings are not a perfect proxy for hospital performance,
patients at 5-star hospitals will experience, on average, better care and lower mortality. As the authors note, patients choosing
a 5-star hospital over a 1-star hospital will sometimes select the hospital
with worse performance. More often than not, however, patients choosing 5-star
hospitals will select a hospital with better performance.
Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more
Subscribe for full-text access to content from 1998 forward and a host of useful features
Activate your current subscription (AMA members and current subscribers)
Purchase Online Access to this article for 24 hours
Some tools below are only available to our subscribers or users with an online account.
Download citation file:
Web of Science® Times Cited: 2
Customize your page view by dragging & repositioning the boxes below.
More Listings atJAMACareerCenter.com >
and access these and other features:
Enter your username and email address. We'll send you a link to reset your password.
Enter your username and email address. We'll send instructions on how to reset your password to the email address we have on record.
Athens and Shibboleth are access management services that provide single sign-on to protected resources. They replace the multiple user names and passwords necessary to access subscription-based content with a single user name and password that can be entered once per session. It operates independently of a user's location or IP address. If your institution uses Athens or Shibboleth authentication, please contact your site administrator to receive your user name and password.