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Correspondence
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Volume 357:1350-1351 September 27, 2007 Number 13
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Number of Medical Conditions and Quality of Care

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by Higashi, T.
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To the Editor: In their article about the relationship between the number of medical conditions and quality of care, Higashi et al. (June 14 issue)1 found that quality of care does not decline among patients with increasing numbers of chronic conditions. However, it would be premature to abandon the burden of chronic disease as an important consideration in quality-measurement programs. Many measures of quality used in the study by Higashi et al. reflect history taking, patient counseling, and other care processes assessed through chart review and patient interviews.2,3 In contrast, quality measures used by large-scale health systems are usually far . . . [Full Text of this Article]



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