RT Journal
A1 Dhalla IA, Detsky AS
T1 ALigning incentives for academic physicians to improve health care quality
JF JAMA
JO JAMA
YR 2011
FD March 2
VO 305
IS 9
SP 932
OP 933
DO 10.1001/jama.2011.234
UL http://dx.doi.org/10.1001/jama.2011.234
AB 
Academic health science centers play a leading role in the development of new knowledge,1 yet the quality of care in academic hospitals is on average only modestly better than that of care provided by community hospitals.2 However, averages are also misleading. In one study evaluating care of patients with acute coronary syndrome, 15 of the 20 top-performing institutions were community hospitals.3 Indeed, many organizations that have been at the forefront of the quality improvement movement, such as Intermountain Healthcare and Geisinger Health System, are not among the highest-ranked academic centers in terms of research grants and research productivity.