The Association Between Health Care Quality and Cost: A Systematic Review

Ann Intern Med.: January 1, 2013

Background: Although there is broad policy consensus that both cost containment and quality improvement are critical, the association between costs and quality is poorly understood.

Purpose: To systematically review evidence of the association between health care quality and cost.

Data Sources: Electronic literature search of PubMed, EconLit, and EMBASE databases for U.S.-based studies published between 1990 and 2012.

Study Selection: Title, abstract, and full-text review to identify relevant studies.

Data Extraction: Two reviewers independently abstracted data with differences reconciled by consensus. Studies were categorized by level of analysis, type of quality measure, type of cost measure, and method of addressing confounders. Read more