The Affordable Care Act, with its subsidies, demonstrations, commissions, and study groups, embodies a considerable amount of regulatory and policy pressure on markets to improve the quality of health care. However, it is possible that this government-led movement will lead to a lot of talk about quality but not necessarily much improvement. A better strategy may be found through “disruptive innovation,” a market-driven approach that has balanced cost and quality in other industries. An example would be to provide lower-cost substitutes for some aspects of primary physician care, in the form of care at a retail clinic. Consumers might not perceive a clinic as a perfect substitute for physician care, but they might prefer the greater convenience and lower cost. Perhaps a little less quality for a lot less money might be acceptable to consumers and taxpayers, as we work to keep medical spending from siphoning off funds required for other needs.
(This research was not funded by the Robert Wood Johnson Foundation, but has been provided as an additional resource from this special issue of Health Affairs.)
- 1 The Ongoing Quality Improvement Journey
- 2 A Road Map for Improving the Performance of Performance Measures
- 3 The Trade-Off Among Quality, Quantity, and Cost
- 4 Global Trigger Tool' Shows that Adverse Events in Hospitals May be Ten Times Greater Than Previously Measured
- 5 Preventing Bloodstream Infections
- 6 Measuring the Performance of Individual Physicians by Collecting Data from Multiple Health Plans
- 7 Measuring Health Care Performance Now, Not Tomorrow
- 8 Despite Improved Quality of Care in the Veterans Affairs Health System, Racial Disparity Persists for Important Clinical Outcomes
- 9 The Importance of Transitional Care in Achieving Health Reform
- 10 An Early Status Report on the Beacon Communities' Plans for Transformation Via Health Information Technology
- 11 A Comparative Study of 11 Local Health Department Organizational Networks
- 12 Public Health Performance
- 13 A Self-Assessment Process for Accreditation Preparedness
- 14 Public Health Delivery Systems
- 15 Regionalization in Local Public Health Systems
- 16 Public Health Services and Systems Research
- 17 A Shot in the Rear, Not a Shot in the Dark
- 18 What Predicts Local Public Health Agency Performance Improvement?
- 19 Growth of a Scientific Community of Practice
- 20 Evolution of Coauthorship in Public Health Services and Systems Research
- 21 Resources that May Matter
- 22 Evidence Links Increases in Public Health Spending to Declines in Preventable Deaths
- 23 Public Health Financial Management Competencies
- 24 Decision Science
- 25 Public Health Financial Management Needs
- 26 Data-Driven Management Strategies in Public Health Collaboratives
- 27 Using Geographic Information Systems to Match Local Health Needs with Public Health Services and Programs
- 28 Public Health Systems and Services Research
- 29 Local Public Health Capacities to Address the Needs of Culturally and Linguistically Diverse Populations
- 30 A Needs Assessment for Data and Methods in Public Health Systems Research
- 31 Mapping the Multidisciplinary Field of Public Health Services and Systems Research
RWJF Nurse Faculty Scholar Jennifer Bellot writes about losing her grandmother to complications from a medical error.
RWJF Health & Society Scholar Brendan Saloner on subsidized health insurance's impact on family economics.
Learn how The Robert Wood Johnson Foundation is dedicated to building a culture of health in Risa Lavizzo-Mourey's 2014 annual message.
America is not getting good value for its health care dollar. These resources explore issues of cost and value of health care.
The County Health Rankings & Roadmaps can be put to use right away to help create a culture of health in your community.
Developing small community homes as alternatives to nursing homes, this radical, new national model for skilled nursing care returns control...
While the need to address disparities in care is well known, few strategies for reducing disparities have been studied systematically.
Judith Halstead, president of the National League for Nursing, writes about the role of nursing education in realizing a transformed health ...
Unengaged patients can incur costs of up to 21% higher than patients who are highly engaged in care. This suite of materials from RWJF's AF4...
RWJF Scholar puzzles out why people who do not drink alcohol are at greater risk for premature death than light to moderate drinkers.
A short distance can mean large disparities in health. Across America, babies born just a few miles apart have dramatic differences in life ...