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Rating the Raters: An Evaluation of Publicly Reported Hospital Quality Rating Systems

The numerous currently available public hospital quality rating systems frequently offer conflicting results, which may mislead stakeholders relying on the ratings to identify top-performing hospitals. Given that there is no gold standard for how a rating system should be constructed or perform and no objective way to compare the rating systems, we evaluated the strengths and weaknesses of four major public hospital quality rating systems based on our experience as physician scientists with methodological expertise in health care quality measurement. More

Health Equity

Everyone deserves the opportunity to live a healthy life, regardless of where they live, how much they make, or who they are. More

Some people should stop being screened for cancer. Convincing them isn’t always easy

The catch-cancer-early-save-a-life trope is a bit misleading: the benefit of some tests is smaller than I had initially thought. Say 1,000 women have biennial mammograms between the ages of 50 and 74. Those 12,000 mammograms would prevent seven deaths from breast cancer. Yearly PSA testing among 1,000 men between the ages of 55 and 69 would lead to one to two fewer deaths from prostate cancer. Yet many of these patients are wary when I broach the idea of stopping screening. More

Report Sounds Alarm on Medication Overload Among Older Americans

Experts on aging are sounding the alarm about another U.S. drug crisis: Too many older adults taking too many medications. This trend is leading to a surge in adverse drug events (ADE) over the past two decades. The rate of emergency department visits by older adults for adverse drug events doubled between 2006 and 2014. That’s a problem as serious as the opioid crisis, but whose scope appears to remain virtually invisible to families, patients, policymakers and many clinicians, according to a recent report by the Lown Institute, a nonprofit think tank in Brookline, Mass. More

Robotic Surgical Tool, Not Medical Evidence, Drives Free Hernia Screenings

Hospitals say such screenings provide valuable education about treatment options for the common medical condition, in which part of the intestine protrudes through a weak spot in the abdominal wall. But no research has been done on hernia screenings, and some experts worry that these outreach efforts — some of which showcase da Vinci robotic surgery devices made by Intuitive Surgical based in Sunnyvale, Calif. — could lead people to get potentially harmful operations they don’t need. More

How More State Health Care Spending Can Lead to Worse Health

Squeezed by rising health care costs, states have shifted money away from “social spending” on programs like public education, public health services, housing assistance, food assistance and income support. That shift “is having dire and long-lasting consequences for the nation’s health and community well-being,” warns a new report from the Lown Institute, a nonpartisan nonprofit that advocates for affordable health care. More