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This is the technical appendix to “The Quality of Health Care Delivered to Adults in the United States”, published in the New England Journal of Medicine, Vol. 348, No. 26, June 26, 2003, is part of the RAND Health Working Paper series. It contains specialized material that underlies the results in the paper and was part of the journal submission.

The research described in this report was performed under the auspices of RAND Health.

This report is part of the RAND Corporation working paper series. RAND working papers are intended to share researchers' latest findings and to solicit informal peer review. They have been approved for circulation by RAND but may not have been formally edited or peer reviewed.

The RAND Corporation 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.