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Invited Commentary
January 2014

Do Hospitals Really Reward Glitz but Not Quality?

Author Affiliations
  • 1California Pacific Medical Center, San Francisco
  • 2Department of Epidemiology and Biostatistics, University of California, San Francisco
  • 3Department of Medicine, Geisel School of Medicine at Dartmouth, Hanover, New Hampshire

Copyright 2014 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.

JAMA Intern Med. 2014;174(1):68-69. doi:10.1001/jamainternmed.2013.7669

The triple aims of American health care—better health, higher quality of care, and lower cost—remain as elusive as they are desirable.1 Since nearly all medical care for the severely ill and about a third of all US health care costs2 occur in hospitals, reaching these goals will presumably require aligning hospitals with them. One reasonable approach is to expect hospital chief executive officers (CEOs), who influence strategy and operations, to bear some accountability for meeting those aims: “pay for performance” should not apply only to physicians.

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