Public Reporting on Quality in the United States and the United Kingdom

In Both Countries the Imperatives of Accountability and Quality Improvement Make the Wider Development and Implementation for Report Cards Inevitable

Published in: Health Affairs, v. 22, no. 3, May/June 2003, p. 134-148

Posted on RAND.org on December 31, 2002

by Martin Marshall, Paul G. Shekelle, H. T O Davies, Peter C. Smith

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The public reporting of comparative information about health care quality is becoming an accepted way of improving accountability and quality. Quality report cards have been prominent in the United States for more than a decade and are a central feature of British health system reform. In this paper the authors examine the common challenges and differences in implementation of the policy in the two countries. They use this information to explore some key questions relating to the content, target audience, and use of published information. The authors end by making specific recommendations for maximizing the effectiveness of public reporting.

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