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 Or doctor? Or hospital? Chances are, if you are satisfied with the outcome, you'd say the care was good. If you've had bad experiences then your review would be less positive. Regardless, you probably have little information to evaluate the quality of the healthcare you receive, the doctors providing it, or the hospitals housing them. How is the quality of healthcare evaluated? On the national level, you can look at key health indicators like life expectancy and under-5 infant mortality. Live in Switzerland or Costa Rica? Life expectancy is around 82 or 79 years, and the under-5 infant mortality rate is 5 and 11 per 1000, respectively. Live in Somalia or South Africa, however, and life expectancy drops to about 53 years, and infant mortality climbs to 154 and 49 per 1000, respectively. Lots of factors contribute to those figures, in themselves they don't tell us what is causing people to thrive or die, and besides moving from Somalia to Costa Rica, they don't help you make health decisions. National health insurance coverage figures tell us something about ability to pay bills: Only 1% of Taiwanese lack health insurance compared to 20% of Americans under the age of 65. But that doesn't tell us about health or care. Process measures are a good start, and at least in the US these are readily available for hospitals, less so for doctors. These report how often hospitals are doing important things: Giving aspirin to heart attack patients, for example. They are the types of things that have been shown to improve health outcomes, but they are not outcomes themselves. Read More |
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