Studies over the past decade show chat some people are receiving more care
than they need, and some are receiving less. Simple averages from a number
of studies indicate that 50 percent of people received recommended preventi
ve care; 70 percent, recommended acute care; 30 percent, contraindicated ac
ute care; GO percent, recommended chronic care; and 20 percent, contraindic
ated chronic care. These studies strongly suggest that the care delivered i
n the United States often does not meet professional standards. Efforts to
measure quality and report routinely on the results to the public at large
would allow more definitive assessments of the status of the nation's healt
h care and would enable us to single our the areas in need of improvement.