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Activity Number: 393
Type: Roundtables
Date/Time: Tuesday, August 2, 2016 : 12:30 PM to 1:50 PM
Sponsor: Health Policy Statistics Section
Abstract #319650
Title: Should Quality Ratings Be Adjusted for Effects of Patient Socioeconomic Characteristics?
Author(s): Alan M. Zaslavsky*
Companies: Harvard Medical School
Keywords: health care quality ; adjustment ; discrimination ; social determinants

While adjustment of quality measures based on outcomes for patient clinical characteristics is generally accepted, both adjustment of process measures and adjustment for social characteristics remain controversial, all the more so in combination. Arguments for adjustment emphasis unfairness and perverse incentives potentially affecting poor-serving institutions while opponents rejoin that adjustment would excuse poor quality of services to disadvantaged patients. Recent consideration of this issue by committees of the National Quality Forum and Institute of Medicine has advanced this debate. We will discuss this controversy from policy, scientific, and ethical perspectives.

Authors who are presenting talks have a * after their name.

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