Recent efforts to increase transparency regarding the quality of health care have been guided, in part, by the notion that this information will help patients make better choices about where to seek care.1 Despite substantial progress in measure development and dissemination, there is limited evidence that patients are putting such information to use,2 and only 6% of Americans are familiar with Hospital Compare, the quality reporting Web site maintained by the Centers for Medicare & Medicaid Services (CMS).3 There are several reasons for this: patients who are acutely ill rarely have the time to compare potential sources of care, clinical knowledge is required to make sense of most hospital process measures, the concept of a risk-standardized outcome is difficult to understand, and patients may not recognize the possibility that quality of care might vary.4 Additionally, patients may still prefer referrals from trusted family members or physicians over information obtained on the internet; practical matters, such as hospital location, often trump other considerations; and insurance co-payments may instill additional barriers to choice.
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: 13
Customize your page view by dragging & repositioning the boxes below.
JAMA: 2010-10-20, Vol. 304, No. 15, Author Interview
More Listings atJAMACareerCenter.com >
Users' Guides to the Medical Literature
Chapter e23. How to Use an Article About Quality Improvement
All results at
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.