The Urgent Need to Improve Health Care Quality<SUBTITLE>Institute of Medicine National Roundtable on Health Care Quality</SUBTITLE>
JAMAPublished 16 September 1998
Mark R. Chassin
Citations1,249
SJR quartileQ1
SJR score5.35
SNIP10.71
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Abstract
The quality of health care can be precisely defined and measured with a degree of scientific accuracy comparable with that of most measures used in clinical medicine. Serious and widespread quality problems exist throughout American medicine. These problems, which may be classified as underuse, overuse, or misuse, occur in small and large communities alike, in all parts of the country, and with approximately equal frequency in managed care and fee-for-service systems of care. Very large numbers of Americans are harmed as a direct result. Quality of care is the problem, not managed care. Current efforts to improve will not succeed unless we undertake a major, systematic effort to overhaul how we deliver health care services, educate and train clinicians, and assess and improve quality.
Keywords
Health ProfessionsEconomics, Econometrics and Finance
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