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Improving Patient Care |

Systematic Review: The Evidence That Publishing Patient Care Performance Data Improves Quality of Care

Constance H. Fung, MD, MSHS; Yee-Wei Lim, MD, PhD; Soeren Mattke, MD, DSc; Cheryl Damberg, PhD; and Paul G. Shekelle, MD, PhD
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From RAND, Santa Monica, and Veterans Affairs Greater Los Angeles Healthcare System, Los Angeles, California.


Acknowledgment: The authors thank Roberta Shanman for assistance with the literature search and Susan Chen and Carlo Tringale, Southern California Evidence-based Practice Center, for assistance with retrieving the articles and preparing the manuscript.

Financial Support: This manuscript was supported by RAND Health's Comprehensive Assessment of Reform Options (COMPARE) Initiative, which receives funding from a consortium of sources, including RAND's corporate endowment, contributions from individual donors, corporations, foundations, and other organizations. After completing this project, Dr. Fung began employment with Zynx Health.

Potential Financial Conflicts of Interest:Employment: C.H. Fung (Zynx Health, Veterans Affairs [past], RAND [past]). Consultancies: C.H. Fung (Society of General Internal Medicine, Health Benchmarks). Grants received: C.H. Fung (California HealthCare Foundation).

Requests for Single Reprints: Constance H. Fung, MD, MSHS, 10880 Wilshire Boulevard, No. 300, Los Angeles, CA 90024.

Current Author Addresses: Dr. Fung: 10880 Wilshire Boulevard, No. 300, Los Angeles, CA 90024.

Drs. Lim, Damberg, and Shekelle: RAND, 1776 Main Street, PO Box 2138, Santa Monica, CA 90407-2138.

Dr. Mattke: RAND, 1200 South Hayes Street, Arlington, VA 22202-5050.


Ann Intern Med. 2008;148(2):111-123. doi:10.7326/0003-4819-148-2-200801150-00006
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Although recent reports on the quality of U.S. health care document improvement in many clinical areas (12) quality deficits remain (35). Studies suggest that the U.S. health care system often fails to deliver effective (3), safe (69), and patient-centered care (1011)—3 areas that the Institute of Medicine has identified as important for a well-functioning health care system (12).

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Figure 1.
Two pathways for improving performance through release of publicly reported performance data.

Information from reference (23).

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