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Titolo:
Commentary: Public disclosure in the health field: Is there a relevant option?
Autore:
Weil, TP;
Indirizzi:
Bedford Hlth Associates Inc, Asheville, NC 28804 USA Bedford Hlth Associates Inc Asheville NC USA 28804 sheville, NC 28804 USA Hlth & Hosp Serv, Asheville, NC USA Hlth & Hosp Serv Asheville NC USAHlth & Hosp Serv, Asheville, NC USA
Titolo Testata:
AMERICAN JOURNAL OF MEDICAL QUALITY
fascicolo: 1, volume: 16, anno: 2001,
pagine: 23 - 33
SICI:
1062-8606(200101/02)16:1<23:CPDITH>2.0.ZU;2-#
Fonte:
ISI
Lingua:
ENG
Soggetto:
NEW-YORK-STATE; CARDIAC-SURGERY; PERFORMANCE REPORTS; QUALITY; CARE; HOSPITALS; OUTCOMES; MORTALITY; CONSUMERS; ACCESS;
Keywords:
clinical outcomes; cost reduction; Health and Human Services Center for Patient Safety; health maintenance organizations; public disclosure; Securities and Exchange Commission;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
59
Recensione:
Indirizzi per estratti:
Indirizzo: Weil, TP Bedford Hlth Associates Inc, Asheville, NC 28804 USA Bedford HlthAssociates Inc Asheville NC USA 28804 NC 28804 USA
Citazione:
T.P. Weil, "Commentary: Public disclosure in the health field: Is there a relevant option?", AM J MED QU, 16(1), 2001, pp. 23-33

Abstract

Steadily increasing numbers of private, not-for-profit, and public agencies are releasing quality of care and financial information to enhance the market power of those purchasing America's health services. These sources range widely from the Health Plan Employer Data and Information Set (HEDIS) tothe federal Securities and Ex change Commission (SEC). A growing interest in publicly disclosing performance information that concerns providers, as recently recommended by the Institute of Medicine (IOM) report on patient safety, until now has only achieved a modest impact. A major exception is inthose metropolitan areas where acute-care facilities experience intense competition for patient admissions. Although the comparative quality and costinformation currently avail able is for the most part in the public interest, it is con eluded that, in the foreseeable future, these report cards asnow structured will not result in any significant enhancement in access, improvement in quality, or reduction in cost. Options to encourage more public disclosure explored in this paper are Congress potentially passing legislation (a) to establish a Center for Patient Safety within the US Department of Health and Human Services as recommended by the recent Institute of IOM study, or (b) empowering the SEC beyond its current mandate to collect and disseminate all pertinent quality of care and cost information on every provider in the United States. The latter alternative would include user-friendly, comparative analyses to be provided on the Internet and elsewhere and would make readily available information from HEDIS, the Joint Commissionon the Accreditation of Healthcare Organization (JCAHO), coronary artery bypass graft (CABG) surgery studies, cost comparisons based on Medicare costreports and SEC filings, and other similar sources.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 25/01/20 alle ore 06:56:51