Between 1994 and 2003, hospital admission rates increased for five of 16 ambulatory care–sensitive conditions (which might indicate worsening in ambulatory care access or quality for those conditions) and decreased for five conditions (which might indicate improvement in ambulatory care access or quality).
In 2003, less than one-half (46%) of U.S. children and adolescents received care that met the American Academy of Pediatrics' definition of a medical home. Rates ranged from 34 percent to 61 percent among the states.
Only about one-quarter to one-half of U.S. physicians surveyed in 2003 used valuable patient data and information technologies to manage patient care. Only one-quarter or fewer received performance feedback on the quality of care they deliver, and only one-third participated in collaborative or redesign efforts to improve patient care.
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