Cover: Evaluating Quality of Health Care for the Disadvantaged

Evaluating Quality of Health Care for the Disadvantaged

A Literature Review

Published 1975

by Robert H. Brook, Kathleen N. Williams


Download eBook for Free

FormatFile SizeNotes
PDF file 1.7 MB

Use Adobe Acrobat Reader version 10 or higher for the best experience.


Purchase Print Copy

 Format Price
Add to Cart Paperback38 pages $20.00

The current literature on the assessment of quality of health care is reviewed in terms of health care for the American public in general and for the disadvantaged populations in particular. Four principal conclusions are drawn: (1) differentials in health status between the disadvantaged and the nondisadvantaged persist; (2) differentials in the overall amount of health care received are less dramatic than in the past, but standardization by need demonstrates discrepancies in health services provided to the disadvantaged compared with the nondisadvantaged; (3) quality of health care in general has demonstrable shortcomings, but the technical quality of care for the disadvantaged is not strikingly poorer than care for the nondisadvantaged; and (4) efforts to improve the quality of care for the disadvantaged (through traditional or innovating means) have not had the hoped-for impact. Four new avenues for policy-related research and evaluation are discussed; these involve greater patient responsibility, increased consumer knowledge, financial accountability, and quality assurance activities.

This report is part of the RAND report series. The report was a product of RAND from 1948 to 1993 that represented the principal publication documenting and transmitting RAND's major research findings and final research.

This document and trademark(s) contained herein are protected by law. This representation of RAND intellectual property is provided for noncommercial use only. Unauthorized posting of this publication online is prohibited; linking directly to this product page is encouraged. Permission is required from RAND to reproduce, or reuse in another form, any of its research documents for commercial purposes. For information on reprint and reuse permissions, please visit

RAND is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.