Quality of Outpatient Care Has Not Consistently Improved in U.S.

Share this content:
Quality of Outpatient Care Has Not Consistently Improved in U.S.
Quality of Outpatient Care Has Not Consistently Improved in U.S.

MONDAY, Oct. 17, 2016 (HealthDay News) -- Efforts to improve the quality of clinical care in the United States have had little impact on many aspects of outpatient care, according to an analysis published online Oct. 17 in JAMA Internal Medicine.

David Levine, M.D., an internist and research fellow at Brigham & Women's Hospital and Harvard Medical School in Boston, and colleagues used data from a nationally representative annual survey of the U.S. adult population to evaluate 46 quality indicators. These included measures of underuse and overuse of medical treatments and patient experiences.

While the study showed modest gains in a few clinical care measures, other indicators of quality remained unchanged or even declined. Of clinical quality measures, appropriate use of β-blockers for heart failure and statin drugs for stroke showed the greatest improvement. At the same time, declines occurred in the use of angiotensin-converting enzyme inhibitors and angiotensin receptor blockers in patients with both diabetes and hypertension. The percentage of adults rating their health care experiences an 8, 9 or 10 out of 10 rose from 72 to 77 percent over the study period. And patient ratings of access to care rose from 48 to 58 percent.

Among other findings from the study: about one in four Americans are not getting recommended diagnostic and preventive screenings; nearly one in three Americans fail to receive recommended diabetes care; and about 60 percent of eligible Americans do not receive beneficial cardiovascular and pulmonary therapies. Recommended colorectal cancer screenings improved, from 48 to 63 percent of eligible adults; however, the percentage of older adults who avoid inappropriate colorectal cancer screening fell, to 61 percent from 70 percent.

Full Text
Editorial

Share this content:

is free, fast, and customized just for you!




Already a member?

Sign In Now »

Trending Activities

All Professions

Drug Lookup

Browse drugs by: BrandGenericDisease

More in Home

Study Provides Estimates of U.S. Prevalence of Type 1, 2 Diabetes

Study Provides Estimates of U.S. Prevalence of Type ...

Prevalence of type 1 diabetes 0.5 percent, type 2 diabetes 8.5 percent among U.S. adults

Black Individuals at Highest Risk of Legal Intervention Injury

Black Individuals at Highest Risk of Legal Intervention ...

Increase in rates of injuries from 2005 to 2009, followed by a drop to 2015, returning to ~2005 levels

Research Links Doctor Burnout to Patient Safety Incidents

Research Links Doctor Burnout to Patient Safety Incidents

Physician burnout linked to increased risk of patient safety incidents, reduced patient satisfaction

is free, fast, and customized just for you!




Already a member?

Sign In Now »