Health care ratings

Health care ratings are ratings or evaluations of health care. In the United States they have been an increasingly used tool to try to drive accountability among health care providers and in the context of classic supply/demand view of Health economics, to help health care consumers make better choices.[1]

Reviews in 2008 and 2009 review of research on the effects of health care ratings found that there was evidence that public ratings drove hospitals to improve their performance, but there was limited evidence that they affected how consumers choose health care providers or insurance plans, or that they changed the performance of individual doctors or insurance companies.[1][2]

In may cases it is difficult to create health care ratings that can meaningfully summarize any individual provider's performance in a way that be compared with others', and data is often lacking with which to generate ratings.[3]

People may have difficulty finding the ratings, especially if they are negative.[4] To make these reports more accessible, large philanthropies, including the Robert Wood Johnson Foundation, have funded major initiatives that are focused on performance measurement like the Aligning Forces for Quality program.[5]

## See also

* Health system international comparisons

## References

1. ↑ 1.0 1.1 Kolstad, JT; Chernew, ME (February 2009). "Quality and consumer decision making in the market for health insurance and health care services". Medical Care Research and Review 66 (1 Suppl): 28S–52S. doi:10.1177/1077558708325887. PMID 19029288.
2. ↑ Fung, C.H. (2008). "Systematic Review: The Evidence That Publishing Patient Care Performance Data Improved Quality of Care". Annals of Internal Medicine 148 (2): 111–23. doi:10.7326/0003-4819-148-2-200801150-00006. PMID 18195336. DARE summary
3. ↑ Sinaiko, AD; Eastman, D; Rosenthal, MB (March 2012). "How report cards on physicians, physician groups, and hospitals can have greater impact on consumer choices". Health Affairs 31 (3): 602–11. doi:10.1377/hlthaff.2011.1197. PMID 22392672.
4. ↑ Madison, Kristin (January 2009). "The Law and Policy of Health Care Quality Reporting". Campbell Law Review 31 (2): 215–255. https://scholarship.law.campbell.edu/cgi/viewcontent.cgi?article=1481&context=clr.
5. ↑ Casalino, L. P.; Elster, A.; Eisenberg, A.; Lewis, E.; Montgomery, J.; Ramos, D. (1 May 2007). "Will Pay-For-Performance And Quality Reporting Affect Health Care Disparities?". Health Affairs 26 (3): w405–w414. doi:10.1377/hlthaff.26.3.w405. PMID 17426053.

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Health care quality

Concepts of quality|

* Evidence-based medicine
* Medical consensus
* Medical guideline

Health care evaluations|

* Clinical audit
* Clinical peer review
* Independent medical review
* Health care ratings
* Health impact assessment
* Health services research
* Routine health outcomes measurement

Accreditation|

* Hospital accreditation
* International healthcare accreditation
* List of international healthcare accreditation organizations

Costs and benefits|

* Incremental cost-effectiveness ratio
* Cost-effectiveness analysis
* Cost-minimization analysis
* Cost per procedure

Tools|

* Clinical Quality Management System
* Disability-adjusted life year
* Incremental cost-effectiveness ratio
* Quality-adjusted life year

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