1 Division of General Pediatrics, Boston City Hospital/Boston, University School of Medicine, Boston, MA 02118
Health care reform and consolidation within the health care industry has led to greater interest in measuring the quality of care that children receive. Remarkably little is known about measuring the quality of ambulatory services in pediatrics, but nevertheless there is growing interest in "grading" the services provided by health delivery systems. Health care "report cards" are a cornerstone of managed competitiona set of quality indicators that will allow consumers to select the health care plan that best meets their needs.1,2
What should a report card for pediatric preventive services include? Traditionally, many insurers have reported immunization rates, but little else with respect to children.3,4
Submitted on June 27, 1994
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