Sunday is the deadline for ACA insurance open enrollment in most states! Learn more.
by Carolyn M. Clancy. M.D., AHRQ, AARP Bulletin, June 3, 2009
If you get sick or have surgery, you have only a three-in-five chance of getting the care that’s recommended for you. This statement is so shocking that I wouldn’t blame you for questioning it.
We have one of the most advanced health care systems in the world, with thousands of dedicated doctors and nurses and many state-of-the-art hospitals. We know that errors happen and that not everyone gets access to health care when needed. Still, we expect that when we seek out care, we’ll get the right care.
I wish that were consistently true. The fact is that U.S. patients receive the recommended care for their illness or condition only about 60 percent of the time, according to a set of new reports from my agency, the Agency for Healthcare Research and Quality (AHRQ).
The reports also show that patient safety actually is getting worse. For example, one in seven hospitalized Medicare patients experiences significant harm when hospitalized; and poor, less-educated and minority Americans tend to receive poorer quality of care than whites.
The AHRQ reports also show that:
We’ve been publishing these reports every year since 2003. I’m sorry to report that quality is improving at a very slow pace. The annual rate of improvement shown in this year’s report is 1.8 percent. This is better than last year, but the pace of progress is not rapid enough to close the major gaps in quality that we’ve known about for well over a decade.
As a physician and as a patient, I want to see faster progress. And you should, too. We have a right to expect safer, higher quality health care.
Many health care organizations are working diligently to improve quality and safety. But change comes slowly, and improvements can be hard to sustain. In the meantime, there are things you can do as a patient to make sure you get safe, high-quality care.
The first is to ask a lot of questions. When it comes to your health care, questions are the answer. Engaging your doctor or nurse in a discussion about your condition and your care will make sure that everyone’s paying attention. Simple questions—”Which hospital is best for my needs?” and “Will this medicine interact with medicines I’m already taking?”—will spark a dialogue that will help you understand your condition and choose your options.
The second thing you can do is to conduct your own research about your hospital or your condition. Medicare’s Hospital Compare Web tool offers information on how your local hospitals perform when treating certain conditions, such as heart attack or pneumonia, and on other measures, including patients’ experiences in the hospital.
Many states offer some type of hospital rating system or tools so you can get a sense of the quality of care a hospital provides before you walk in the door. Check with your state’s insurance department or health department to find out what tools are available.
Finally, taking good care of yourself and getting the right preventive tests, like being screened for breast cancer or colorectal cancer, can increase your chances for staying healthy or catching problems early when they can be treated more effectively. It’s also important to maintain your health by staying at a healthy weight, eating nutritious foods, and not smoking.
AHRQ’s reports indicate that quality is slowly getting better, but we still have a long way to go. Health care organizations and care providers have major roles to play in improving quality and closing gaps in care access. You can help by asking questions, doing your own research and taking an active role in maintaining your health.
I’m Dr. Carolyn Clancy, and that’s my advice on how to navigate the health care system.
Carolyn M. Clancy, a general internist and researcher, is an expert in engaging consumers in their health care. She is the director of the U.S. Agency for Healthcare Research and Quality.
Please leave your comment below.
You must be logged in to leave a comment.
Enter address, city, state, or ZIP code.
Driver Safety (0)
Tax Aide (0)
Entertainment & Dining (0)
Healthcare & Insurance (0)
Financial Services & Insurance (0)
Member Local Offers (0)
Visit the AARP state page for information about events, news and resources near you.
Members can save 35% on registration fees.
This tool helps you identify your pills by color, shape and markings.
Members can take a free confidential hearing test by phone.
AARP members receive exclusive member benefits & affect social change.
You are leaving AARP.org and going to the website of our trusted provider. The provider’s terms, conditions and policies apply. Please return to AARP.org to learn more about other benefits.
Your email address is now confirmed.
Manage your email preferences and tell us which topics interest you so that we can prioritize the information you receive.
Explore all that AARP has to offer.
In the next 24 hours, you will receive an email to confirm your subscription to receive emails
related to AARP volunteering. Once you confirm that subscription, you will regularly
receive communications related to AARP volunteering. In the meantime, please feel free
to search for ways to make a difference in your community at