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Medical Care Research and Review
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Article

The Relationship Between Medical Practice Characteristics and Quality of Care for Cardiovascular Disease

Bruce E. Landon, MD, MBA1*, Sharon Lise T. Normand, PhD1, Ellen Meara, PhD1, Qi Zhou, MD, MBA2, Steven R. Simon, MD, MPH3, Richard Frank, PhD1, and Barbara J. McNeil, MD, PhD1

1 Harvard Medical School, Department of Health Care Policy
2 Tufts Health Plan, Department of Clinical Quality Measurement
3 Harvard Medical School, Department of Ambulatory Care and Prevention

* To whom correspondence should be addressed. E-mail: landon{at}hcp.med.harvard.edu.


  Abstract
The settings in which health care services are delivered have the potential to influence the quality of health care services in numerous ways, but little is known about the relationship between characteristics of medical practices and quality of care. In this study, the authors studied patients with coronary heart disease (CHD). The authors surveyed 225 medical practices in 2000 and 2001 and obtained information on quality measures from the medical records for more than 1,600 of their patients with CHD. Results suggest that quality of care, at least for common conditions with agreed-on measures, is not strongly influenced by financial characteristics of medical practices, although there does seem to be some relationship with practice structure such as size and quality.

First published on December 20, 2007, doi:10.1177/1077558707310208

Medical Care Research and Review 2008;65:167.

A more recent version of this article appeared on April 1, 2008

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