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Health Policy

Health Care Quality

Barriers to Accessing Health Care

Americans report barriers to accessing health care one-fifth of the time, ranging from 3 percent of people who say they were unable to get or had to delay getting a prescription medication to 60 percent saying their usual provider did not have office hours on nights or weekends.

Source:  Agency for Healthcare Research and Quality

Better Advice Needed

Overall, in 2007, 59.2% of adults with obesity had ever received advice from a health provider to exercise more.

Source:  Agency for Healthcare Research and Quality

Getting in to See the Doctor

Only one in four Americans and Canadians with chronic conditions, such as heart disease, diabetes and asthma, was able to get an appointment to see a doctor on the same day the last time they were sick.

Source:  The Commonwealth Fund

The Cost of Preventable Readmissions

Preventable hospital readmissions cost Medicare alone more than $17 billion in 2004.

Source:  The New England Journal of Medicine

Lacking Information

Most doctors lack information about the quality of care they or their colleagues provide. Only one in five gets data about the care their patients received, such as recommended tests, screenings and checkups.

Source:  The Commonwealth Fund

Finding the Best Quality

Choosing the right doctor or hospital is one of the most important health care decisions consumers will ever make, yet they have little information to guide the decision. Only 12 percent of Americans surveyed in 2008 said they had seen information about the quality of care doctors provide, and only 6 percent said they used the information to make a decision.

Source:  Kaiser Family Foundation

Perverse Incentives

Our current reimbursement system can create perverse outcomes. There are 24 million Americans with diabetes. Nationally, many insurers will not pay $150 per visit for a patient with diabetes to have routine preventive-care visits with a podiatrist. However, nearly all insurers will pay $30,000 for the foot amputation that is all too common in advanced cases of diabetes.

Source:  The New York Times

Mayo Clinic Savings

If the entire U.S. health care system treated chronically ill patients the way the prestigious Mayo Clinic does, Medicare could have saved $50 billion in 2001-2005.

Source:  Dartmouth Atlas

Geographic Variation

Across the United States, there are variations in the way medicine is practiced, which affect both the quality and quantity of the health care patients receive.

Source:  Dartmouth Atlas

Worse Care for Minorities

Racial and ethnic minorities suffer from worse health and receive lower-quality care than whites, regardless of where they live, their income or their health insurance coverage.

Source:  Institute of Medicine

Hospital-Acquired Infections

Health care-associated infections in hospitals account for an estimated 1.7 million infections and 99,000 associated deaths each year.

Source:  Public Health Reports

Preventable Errors

Between 44,000 and 98,000 people die annually from preventable errors, more than from motor-vehicle accidents, breast cancer or AIDS.

Source:  Institute of Medicine

Preventable Deaths

As many as 91,000 Americans die each year because they don't receive the right evidence-based care for such chronic conditions as high blood pressure, diabetes and heart disease.

Source:  National Committee for Quality Assurance

Recommended Care, Only Half the Time

It's a coin flip whether you'll get the right care for what's wrong with you. It only happens about half the time. Children receive less than half (46.5 percent) of recommended care. Adult patients receive only half (55 percent) of recommended care.

Source:  The New England Journal of Medicine

Wasted Care

Thirty percent of the care we deliver--nearly $700 billion a year--may go for tests, procedures, doctor visits, hospital stays and other services that may not improve people's health.

Source:  Congressional testimony

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RWJF Home → Topics → Health Policy → Health Care Quality
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