Schuster M A, McGlynn E A, Brook R H
RAND, Santa Monica, CA, USA.
Milbank Q. 1998;76(4):517-63, 509. doi: 10.1111/1468-0009.00105.
Studies over the past decade show that some people are receiving more care than they need, and some are receiving less. Simple averages from a number of studies indicate that 50 percent of people received recommended preventive care; 70 percent, recommended acute care; 30 percent, contraindicated acute care; 60 percent, recommended chronic care; and 20 percent, contraindicated chronic care. These studies strongly suggest that the care delivered in the United States often does not meet professional standards. Efforts to measure quality and report routinely on the results to the public at large would allow more definitive assessments of the status of the nation's health care and would enable us to single out the areas in need of improvement.
过去十年的研究表明，一些人接受的护理超出了他们的需求，而另一些人则接受得不够。多项研究的简单平均值显示，50%的人接受了推荐的预防性护理；70%的人接受了推荐的急性护理；30%的人接受了禁忌的急性护理；60%的人接受了推荐的慢性护理；20%的人接受了禁忌的慢性护理。这些研究有力地表明，美国提供的护理往往不符合专业标准。衡量质量并定期向广大公众报告结果的努力，将使人们能够对国家医疗保健状况进行更明确的评估，并使我们能够找出需要改进的领域。
