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How Much Are We Willing To Pay for Information about Quality of Care

Lisa I. Iezzoni, MD, MSc
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Beth Israel Deaconess Medical Center, Boston, MA 02215 Requests for Reprints: Lisa I. Iezzoni, MD, MSc, Division of General Medicine and Primary Care, Department of Medicine, Beth Israel Deaconess Medical Center East Campus, 330 Brookline Avenue, Boston, MA 02215.

Copyright ©2004 by the American College of Physicians

Ann Intern Med. 1997;126(5):391-393. doi:10.7326/0003-4819-126-5-199703010-00009
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Once we agree-or concede-that intense, unscripted competition is now “reforming” the U.S. health care system, the pressing need for information becomes self-evident. Few sentient beings would argue the first point. In some areas, competition has rocked and upended health care landscapes that formerly shifted only with the grinding reluctance of tectonic plates. The second point follows: Information is necessary for making informed choices among competitors. To date, however, costs have been easier to quantify than quality, so dollars have dominated decision making.

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