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Medical News and Perspectives
July 18, 2007

Health Care Quality Varies Widely Across the States

JAMA. 2007;298(3):276. doi:10.1001/jama.298.3.276

A new report shows wide disparities in how states perform on indicators of health system performance (

Many factors likely contribute to health disparities, some within the health care delivery system, some (such as educational status and health behaviors) outside the system (Lurie N and Dubowitz T. JAMA. 2007;297[10]:1118-1120). The report, released on June 13 by the Commonwealth Fund, a private foundation that supports independent research on health care issues, features a scorecard ranking states on 32 indicators of health care access, quality, potentially avoidable use of hospitals and costs of care, equity, and the ability to live long and healthy lives.

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