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Quality and Safety in Health Care 2006;15:146-147; doi:10.1136/qshc.2006.018531
Copyright © 2006 by the BMJ Publishing Group Ltd.
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LEAD EDITORIAL

Payment and quality of health care

What happens to health care quality when the patient pays?

M R Zabel, D P Stevens

Association of American Medical Colleges, Washington, DC 20037, USA

Correspondence to:
M R Zabel
Association of American Medical Colleges, 2450 N Street, NW, Washington, DC 20037, USA; mzabel@aamc.org

Inequalities in access to health care in Bangladesh and the Bronx

Keywords: quality of care; access; payment

The first 150 words of the full text of this article appear below.

At a Convention of the Medical Committee for Human Rights held in Chicago in March 1966, Martin Luther King Jr declared: "Of all the forms of inequality, injustice in health care is the most shocking and inhumane",1 and in the Institute of Medicine report "Crossing the Quality Chasm: A New Health System for the 21st Century"2 published in 2001 it is stated that a healthcare system should provide "care that does not vary in quality because of personal characteristics such as gender, ethnicity, geographic location, and socioeconomic status".

In the 21st century there are still countries where health systems put a price on care that the patient must pay at the point of service. For example, in the United States, where over 45 million citizens are without healthcare insurance, many must purchase care with personal resources. As a . . . [Full text of this article]


Related Article

Quality Lines
David P Stevens
Qual. Saf. Health Care 2006 15: 145. [Extract] [Full Text] [PDF]





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