FREE NEJM E-TOC    HOME   |   SUBSCRIBE   |   CURRENT ISSUE   |   PAST ISSUES   |   COLLECTIONS   |   Search Term  Advanced Search

Sign in | Get NEJM's E-Mail Table of Contents — Free | Subscribe

Previous Volume 358:532-533 January 31, 2008 Number 5 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

	Full Text PDF PDA Full Text Add to Personal Archive Add to Citation Manager Notify a Friend E-mail When Cited E-mail When Letters Appear Related Article by Mangione-Smith, R. PubMed Citation

To the Editor: Mangione-Smith et al. (Oct. 11 issue)¹ report that children receive only 46.5% of recommended health care. Is our goal 100% adherence to these recommendations? What are barriers to improvement?

Hayward commented, regarding performance-measure adherence for adults, "It sounds terrible . . . that 50% of recommended care is not received, but . . . mandating adherence to these recommendations is not necessarily in the best interest of patients or society. . . . At the heart of this problem is our wish to keep efforts at quality improvement and cost containment separate."² Benefits from guidelines are not necessarily additive,^3,4 since there are usually . . . [Full Text of this Article]

HOME  |  SUBSCRIBE  |  SEARCH  |  CURRENT ISSUE  |  PAST ISSUES  |  COLLECTIONS  |  PRIVACY  |  TERMS OF USE  |  HELP  |  beta.nejm.org Comments and questions? Please contact us. The New England Journal of Medicine is owned, published, and copyrighted © 2009 Massachusetts Medical Society. All rights reserved.